Warner, Michael R
Warner, Michael R is an individual health care provider with primary practice located at 1625 St Louis Ave , Fort Worth TX 76104. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Warner, Michael R can be contacted via phone (817) 927-1325.Contact Information
Primary practice address
1625 St Louis Ave
Fort Worth TX 76104
Phone: (817) 927-1325
Fax: (817) 927-1497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 13421 | Texas |
Profile Details
| NPI number | 1730154378 |
|---|---|
| LBN Legal business name | Warner, Michael R |
| Credentials | DDS PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730154378 | NPPES |
| Texas | MEDICAID | 1306425 |
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