Provider Demographics
NPI:1356554661
Name:WRIGHT, BILL G (DC)
Entity type:Individual
Prefix:
First Name:BILL
Middle Name:G
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 1:2949 N 27TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1476
Mailing Address - Country:US
Mailing Address - Phone:402-466-1288
Mailing Address - Fax:402-466-1288
Practice Address - Street 1:2949 N 27TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1476
Practice Address - Country:US
Practice Address - Phone:402-466-1288
Practice Address - Fax:402-466-1288
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE940111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE279777Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE
NET89409Medicare UPIN