Warren, Roderick

Warren, Roderick is an individual health care provider with primary practice located at 820 Ravenhill Dr Ste 107 , Atchison KS 66002-9252. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Warren, Roderick can be contacted via phone (913) 674-2340.

Contact Information

Primary practice address
820 Ravenhill Dr Ste 107 Atchison KS 66002-9252
Phone: (913) 674-2340
Fax: (913) 674-2039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22487 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 0428647 Kansas

Profile Details

NPI number 1528083078
LBN Legal business name Warren, Roderick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 10th, 2020 - about 6 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 1528083078 NPPES
Kansas Other 103525 BLUE CROSS OF KS
Kansas MEDICAID 100458720D BLUE CROSS OF KS

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