Warren, Simon John

Warren, Simon John is an individual health care provider with primary practice located at 635 Barnhill Dr # A128 , Indianapolis IN 46202-5126. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Warren, Simon John can be contacted via phone (317) 274-4806.

Contact Information

Primary practice address
635 Barnhill Dr # A128 Indianapolis IN 46202-5126
Phone: (317) 274-4806
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME93737 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01065084A Indiana

Profile Details

NPI number 1407828684
LBN Legal business name Warren, Simon John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jun 27th, 2008 - 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 1407828684 NPPES
Florida MEDICAID 030682700
Florida MEDICAID 200894770

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