Warren, Michael Nathen

Warren, Michael Nathen is an individual health care provider with primary practice located at 212 Highbridge St , Fayetteville NY 13066-1981. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Warren, Michael Nathen can be contacted via phone (315) 637-9116.

Contact Information

Primary practice address
212 Highbridge St Fayetteville NY 13066-1981
Phone: (315) 637-9116
Fax: (315) 637-0436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 8177613-4810 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8177613-1206 Utah

Profile Details

NPI number 1114329810
LBN Legal business name Warren, Michael Nathen
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2014
Last updated Sep 8th, 2021 - about 4 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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