Warren, Brent Blair

Warren, Brent Blair is an individual health care provider with primary practice located at 646 Hartness Rd , Statesville NC 28677-3423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Warren, Brent Blair can be contacted via phone (704) 872-4108.

Contact Information

Primary practice address
646 Hartness Rd Statesville NC 28677-3423
Phone: (704) 872-4108
Fax: (704) 873-6517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 200301426 North Carolina

Profile Details

NPI number 1790779254
LBN Legal business name Warren, Brent Blair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Apr 26th, 2021 - 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 1790779254 NPPES
North Carolina Other 2407151 UNITED HEALTHCARE
North Carolina Other 136WP UNITED HEALTHCARE
North Carolina Other 000000295044 UNITED HEALTHCARE
North Carolina Other 188941 UNITED HEALTHCARE
North Carolina Other 7833504 UNITED HEALTHCARE
North Carolina Other P00292839 UNITED HEALTHCARE
North Carolina MEDICAID G0142B UNITED HEALTHCARE
North Carolina Other 81900 UNITED HEALTHCARE
North Carolina Other 20096157 UNITED HEALTHCARE
North Carolina MEDICAID 89136WP UNITED HEALTHCARE

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