MEDICARE: RONALD WRIGHT, DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	345	ND

General Provider Information

NPI Number	:	1942681598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD WRIGHT, DC

Provider Business Mailing Address
First Line	:	2204 2ND AVE W
Second Line	:
City	:	WILLISTON
State	:	ND
Zip	:	58801-3485
Country	:	US
Telephone Number	:	701-572-2951
Fax Number	:	701-572-8504

Provider Business Practice Location Address
First Line	:	2204 2ND AVE W
Second Line	:
City	:	WILLISTON
State	:	ND
Zip	:	58801-3485
Country	:	US
Telephone Number	:	701-572-2951
Fax Number	:	701-572-8504

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RONALD WRIGHT
Credential	:	DC
Telephone Number	:	701-572-2951

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	06/09/2015

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Directions to “RONALD WRIGHT, DC ” Practice Location

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