Provider Demographics
NPI:1093233132
Name:RIGHT AT HOME PHYSICIANS PLLC
Entity Type:Organization
Organization Name:RIGHT AT HOME PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:586-510-0333
Mailing Address - Street 1:22001 KELLY RD STE 2
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-2726
Mailing Address - Country:US
Mailing Address - Phone:586-510-0333
Mailing Address - Fax:
Practice Address - Street 1:22001 KELLY RD STE 2
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-2726
Practice Address - Country:US
Practice Address - Phone:586-510-0333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPENDINGMedicaid