Warren, Carolyn Sue

Warren, Carolyn Sue is an individual health care provider with primary practice located at 1001 Kennawa Dr , Charleston WV 25311-1824. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Warren, Carolyn Sue can be contacted via phone (304) 925-2200.

Contact Information

Primary practice address
1001 Kennawa Dr Charleston WV 25311-1824
Fax: (304) 926-2238
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10259 West Virginia

Profile Details

NPI number 1366402844
LBN Legal business name Warren, Carolyn Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366402844 NPPES
West Virginia MEDICAID 2002231-000

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