Warren, Galen R

Warren, Galen R is an individual health care provider with primary practice located at 2123 Auburn Ave , Cincinnati OH 45219-2906. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Warren, Galen R can be contacted via phone (513) 721-7373.

Contact Information

Primary practice address
2123 Auburn Ave Cincinnati OH 45219-2906
Phone: (513) 721-7373
Fax: (513) 977-4253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 030194 Ohio
Allopathic & Osteopathic Physicians / Urology 208800000X 35.030194 Ohio

Profile Details

NPI number 1134121155
LBN Legal business name Warren, Galen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 11th, 2017 - about 7 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 1134121155 NPPES
Ohio MEDICAID 0195524

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