Warren, Jill S

Warren, Jill S is an individual health care provider with primary practice located at 1200 N Phillips Ave Suite 6100, Oklahoma City OK 73104-4600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Warren, Jill S can be contacted via phone (405) 271-6827.

Contact Information

Primary practice address
1200 N Phillips Ave Suite 6100 Oklahoma City OK 73104-4600
Fax: (405) 271-4418
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18478 Oklahoma

Profile Details

NPI number 1922076140
LBN Legal business name Warren, Jill S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 19th, 2011 - about 15 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 1922076140 NPPES
Oklahoma Other 731069169030 BCBS
Oklahoma MEDICAID 100822490D BCBS

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