Warren, Paul Douglas

Warren, Paul Douglas is an individual health care provider with primary practice located at 1975 Glenn Mitchell Dr Suite #200, Virginia Beach VA 23456-0167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Warren, Paul Douglas can be contacted via phone (757) 321-3383.

Contact Information

Primary practice address
1975 Glenn Mitchell Dr Suite #200 Virginia Beach VA 23456-0167
Fax: (757) 321-3332
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 0101058667 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101058667 Virginia

Profile Details

NPI number 1205814068
LBN Legal business name Warren, Paul Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Sep 17th, 2015 - about 9 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 1205814068 NPPES
Virginia Other C05501 MEDICARE GROUP
Virginia MEDICAID 006401490 MEDICARE GROUP
Virginia Other 200040146 MEDICARE GROUP
Virginia Other CC7688 MEDICARE GROUP

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