Healthcare Provider Details

I. General information

NPI: 1275098832
Provider Name (Legal Business Name): WRIGHT CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2019
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 W FRANKLIN ST
EVANSVILLE IN
47712-5118
US

IV. Provider business mailing address

2305 W FRANKLIN ST
EVANSVILLE IN
47712-5118
US

V. Phone/Fax

Practice location:
  • Phone: 812-306-7590
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NATHAN WRIGHT
Title or Position: PRESIDENT
Credential: DC
Phone: 812-306-7590