Werne, Carl S

Werne, Carl S is an individual health care provider with primary practice located at 13933 17Th St Suite 101, Dade City FL 33525-4604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Werne, Carl S can be contacted via phone (352) 567-6763.

Contact Information

Primary practice address
13933 17Th St Suite 101 Dade City FL 33525-4604
Phone: (352) 567-6763
Fax: (352) 567-2146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD053982L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 121194 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME77701 Florida

Profile Details

NPI number 1508852351
LBN Legal business name Werne, Carl S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Aug 19th, 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 1508852351 NPPES
Pennsylvania MEDICAID 001487260
Pennsylvania Other 819001
Pennsylvania Other 000534418
Pennsylvania MEDICAID 2904218
Pennsylvania Other P00260114
Pennsylvania MEDICAID 0014872600008
Pennsylvania MEDICAID 3810016824

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