Warren, Otis Upson

Warren, Otis Upson is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Warren, Otis Upson can be contacted via phone (401) 519-1604.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 519-1604
Fax: (401) 272-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X A98804 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD12935 Rhode Island

Profile Details

NPI number 1285898890
LBN Legal business name Warren, Otis Upson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2008
Last updated Feb 5th, 2010 - about 16 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 1285898890 NPPES
Rhode Island Other 08/01/2009 UNITED HEALTHCARE
Rhode Island Other 1962455022 UNITED HEALTHCARE
Rhode Island Other 07/30/2009 UNITED HEALTHCARE
Rhode Island Other 09/22/2009 UNITED HEALTHCARE
Rhode Island MEDICAID OW76308 UNITED HEALTHCARE
Rhode Island Other 001187301 UNITED HEALTHCARE
Rhode Island Other 08/13/2009 UNITED HEALTHCARE
Rhode Island MEDICAID 11082647A UNITED HEALTHCARE
Rhode Island Other 939025129 UNITED HEALTHCARE

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