Provider Demographics
NPI:1982653887
Name:ALBRIGHT, RONALD EUGENE (RN)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:EUGENE
Last Name:ALBRIGHT
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-5444
Mailing Address - Country:US
Mailing Address - Phone:740-382-4666
Mailing Address - Fax:740-382-4666
Practice Address - Street 1:1354 OWENS RD W
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8425
Practice Address - Country:US
Practice Address - Phone:740-223-0212
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH191959163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2124856Medicaid