Provider Demographics
NPI:1538907613
Name:WRIGHT, WILLIAM DEANGELO-HENRY III
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DEANGELO-HENRY
Last Name:WRIGHT
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10358 HOMESTEAD DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-7443
Mailing Address - Country:US
Mailing Address - Phone:317-459-6863
Mailing Address - Fax:
Practice Address - Street 1:10358 HOMESTEAD DR
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-7443
Practice Address - Country:US
Practice Address - Phone:317-459-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program