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
Phone: (757) 321-3383
Fax: (757) 321-3332
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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