Christian, Thomas Warren

Christian, Thomas Warren is an sole proprietor health care provider with primary practice located at 5903 Ridgewood Rd Suite 430, Jackson MS 39211-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Christian, Thomas Warren can be contacted via phone (601) 899-3450.

Contact Information

Primary practice address
5903 Ridgewood Rd Suite 430 Jackson MS 39211-3702
Phone: (601) 899-3450
Fax: (601) 899-3453
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 06707 Mississippi

Profile Details

NPI number 1669455523
LBN Legal business name Christian, Thomas Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated May 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669455523 NPPES
Mississippi MEDICAID 00017537

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