Warren, Mark T
Warren, Mark T is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Warren, Mark T can be contacted via phone (937) 689-9117.Contact Information
Primary practice address
1 Childrens Plz
Dayton OH 45404-1873
Phone: (937) 689-9117
Fax: (937) 431-8562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 34007951 | Ohio |
Profile Details
| NPI number | 1174729321 |
|---|---|
| LBN Legal business name | Warren, Mark T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Jun 20th, 2013 - about 11 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 | 1174729321 | NPPES |
| Ohio | MEDICAID | 2791162 |
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