Healthcare Provider Details

I. General information

NPI: 1053911248
Provider Name (Legal Business Name): JAMES C WRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2020
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34434 KING STREET ROW STE 4
LEWES DE
19958-4987
US

IV. Provider business mailing address

4923 OGLETOWN STANTON RD STE 200
NEWARK DE
19713-2081
US

V. Phone/Fax

Practice location:
  • Phone: 302-360-0142
  • Fax:
Mailing address:
  • Phone: 302-225-0451
  • Fax: 302-225-0470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: