William Wright

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Brookfield, MO

NPI 1619415445 · NPPES record last updated Jan 31, 2017

Key facts

NPI
1619415445
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1102 Steeple Dr
Brookfield, MO 64628-2708
Phone
(660) 734-0946
NPI assigned
Jan 31, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1102 Steeple Dr
Brookfield, MO 64628-2708

Mailing address

1102 Steeple Dr
Brookfield, MO 64628-2708
Phone (660) 734-0946

Other providers in Brookfield, MO

All providers in Brookfield, MO · Student in an Organized Health Care Education/Training Program in Missouri

Sources for this page

Verify at the official NPI Registry.