Provider Demographics
NPI:1033138409
Name:WRIGHT, ALICE E (DC)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:E
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 W ORVILLA RD
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-3644
Mailing Address - Country:US
Mailing Address - Phone:215-855-4042
Mailing Address - Fax:215-361-9612
Practice Address - Street 1:51 W ORVILLA RD
Practice Address - Street 2:
Practice Address - City:HATFIELD
Practice Address - State:PA
Practice Address - Zip Code:19440-3644
Practice Address - Country:US
Practice Address - Phone:215-855-4042
Practice Address - Fax:215-361-9612
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003063-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
128324Medicare ID - Type Unspecified
PAT29372Medicare UPIN