Provider Demographics
NPI:1154325009
Name:WRIGHT'S AUDIOLOGY AND HEARING CARE, INC
Entity Type:Organization
Organization Name:WRIGHT'S AUDIOLOGY AND HEARING CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-524-6882
Mailing Address - Street 1:650 PARK AVE W
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44906-3702
Mailing Address - Country:US
Mailing Address - Phone:419-524-6882
Mailing Address - Fax:419-522-7822
Practice Address - Street 1:650 PARK AVE W
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-3702
Practice Address - Country:US
Practice Address - Phone:419-524-6882
Practice Address - Fax:419-522-7822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01549231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0625989Medicaid
OHWR9308271Medicare ID - Type Unspecified