Individual
JACKSON T WRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-3800
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HTS, OH 44122
(216) 286-6295
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-060828
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224345
UNISON
OH
01
—
000000539619
ANTHEM
OH
01
—
0643909
AETNA
OH
05
—
0832460
—
OH
01
—
364150
WELLCARE
OH
01
—
746010
BUCKEYE
OH
Enumeration date
08/08/2006
Last updated
12/21/2020
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