Warren, Jamie Allen

Warren, Jamie Allen is an individual health care provider with primary practice located at 2800 Cannons Ln Ste 200 , Louisville KY 40205. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Warren, Jamie Allen can be contacted via phone (502) 454-4885.

Contact Information

Primary practice address
2800 Cannons Ln Ste 200 Louisville KY 40205
Phone: (502) 454-4885
Fax: (502) 452-1926
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8142 Kentucky
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 44040 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8142 Kentucky

Profile Details

NPI number 1437291655
LBN Legal business name Warren, Jamie Allen
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 7th, 2018 - 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 1437291655 NPPES
Kentucky MEDICAID 7100152170
Kentucky Other P01500679
Kentucky MEDICAID 7100154720
Kentucky MEDICAID 201055760

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