Provider Demographics
NPI:1225104086
Name:WRIGHT, THOMAS CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CHARLES
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 COACH ST
Mailing Address - Street 2:SUITE 2-B
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1529
Mailing Address - Country:US
Mailing Address - Phone:585-394-2030
Mailing Address - Fax:585-394-2030
Practice Address - Street 1:23 COACH ST
Practice Address - Street 2:SUITE 2-B
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1529
Practice Address - Country:US
Practice Address - Phone:585-394-2030
Practice Address - Fax:585-394-2030
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYXOO1648-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO16487OtherWORKERS COMPENSATION
NYPO10001648OtherBLUE CROSS BLUE SHIELD
NYCO16487OtherWORKERS COMPENSATION
NY15280BMedicare ID - Type Unspecified