Provider Demographics
NPI:1013072891
Name:GREGORY WRIGHT
Entity Type:Organization
Organization Name:GREGORY WRIGHT
Other - Org Name:WRIGHT CHIROPRACTIC & SPORTS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:T
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-432-7002
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:120 ROUTE 28
Mailing Address - City:WEST HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02671-0686
Mailing Address - Country:US
Mailing Address - Phone:508-432-7002
Mailing Address - Fax:508-432-7004
Practice Address - Street 1:120 ROUTE 28
Practice Address - Street 2:
Practice Address - City:WEST HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02671-0686
Practice Address - Country:US
Practice Address - Phone:508-432-7002
Practice Address - Fax:508-432-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA610603000OtherOWCP
MAY39848OtherBCBS OF MA
MAY49187Medicare PIN