Warren, Mark J

Warren, Mark J is an individual health care provider with primary practice located at 23240 Chagrin Blvd Suite 270, Beachwood OH 44122-5404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Warren, Mark J can be contacted via phone (216) 765-0500.

Contact Information

Primary practice address
23240 Chagrin Blvd Suite 270 Beachwood OH 44122-5404
Phone: (216) 765-0500
Fax: (216) 765-0521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35061599 Ohio

Profile Details

NPI number 1225078181
LBN Legal business name Warren, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1225078181 NPPES
Ohio MEDICAID 0979419

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