Provider Demographics
NPI:1821134875
Name:WRIGHT, RAYMOND CARL (DC)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:CARL
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 1:182 NEFF AVE STE W7
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3488
Mailing Address - Country:US
Mailing Address - Phone:540-432-6842
Mailing Address - Fax:540-432-6843
Practice Address - Street 1:182 NEFF AVE STE W7
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3488
Practice Address - Country:US
Practice Address - Phone:540-432-6842
Practice Address - Fax:540-432-6843
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00W393H01Medicare ID - Type Unspecified