Warner, Jeremy L

Warner, Jeremy L is an sole proprietor health care provider with primary practice located at 3320 Tates Creek Rd 3Rd Floor, Lexington KY 40502-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Warner, Jeremy L can be contacted via phone (859) 269-4604.

Contact Information

Primary practice address
3320 Tates Creek Rd 3Rd Floor Lexington KY 40502-3400
Fax: (859) 266-0062
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39132 Kentucky

Profile Details

NPI number 1831232750
LBN Legal business name Warner, Jeremy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 18 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 1831232750 NPPES
Kentucky MEDICAID 64095763

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