Warren, Robert C

Warren, Robert C is an individual health care provider with primary practice located at 125 E Broad St Ste 101 , Elyria OH 44035-6429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Warren, Robert C can be contacted via phone (440) 328-3450.

Contact Information

Primary practice address
125 E Broad St Ste 101 Elyria OH 44035-6429
Phone: (440) 328-3450
Fax: (216) 201-6330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35068419W Ohio

Profile Details

NPI number 1710964143
LBN Legal business name Warren, Robert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Dec 4th, 2020 - about 5 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 1710964143 NPPES
Ohio MEDICAID 0150429
Ohio MEDICAID 0236248
Ohio MEDICAID 3025372

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