Kent, Warren L

Kent, Warren L is an individual health care provider with primary practice located at 136 Terryville Rd , Port Jefferson Station NY 11776-1330. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kent, Warren L can be contacted via phone (631) 928-1815.

Contact Information

Primary practice address
136 Terryville Rd Port Jefferson Station NY 11776-1330
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 003191 New York

Profile Details

NPI number 1437150406
LBN Legal business name Kent, Warren L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 30th, 2010 - about 14 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 1437150406 NPPES
New York Other 692299 UNITED HEALTH CARE
New York Other 111898 UNITED HEALTH CARE
New York Other CS097 UNITED HEALTH CARE
New York MEDICAID 00633069 UNITED HEALTH CARE
New York Other 6144145013 UNITED HEALTH CARE
New York Other 4263796 UNITED HEALTH CARE
New York Other 1499628 UNITED HEALTH CARE
New York Other PH1231 UNITED HEALTH CARE
New York Other P-45351494 UNITED HEALTH CARE

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