Provider Demographics
NPI:1588750897
Name:WRIGHT, RONALD AARON (DC DOCTOR OF CHIROPR)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:AARON
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DC DOCTOR OF CHIROPR
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2204 2ND AVENUE WEST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-3485
Mailing Address - Country:US
Mailing Address - Phone:701-572-2951
Mailing Address - Fax:701-572-8504
Practice Address - Street 1:2204 2ND AVENUE WEST
Practice Address - Street 2:SUITE 103
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-3485
Practice Address - Country:US
Practice Address - Phone:701-572-2951
Practice Address - Fax:701-572-8504
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ND345111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND13731Medicaid
ND13731Medicaid
ND4277Medicare ID - Type Unspecified