Warren, Shay Ivan
Warren, Shay Ivan is an individual health care provider with primary practice located at 555 N Arlington Ave , Reno NV 89503-4723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Warren, Shay Ivan can be contacted via phone (775) 786-3040.Contact Information
Primary practice address
555 N Arlington Ave
Reno NV 89503-4723
Phone: (775) 786-3040
Fax: (775) 788-5235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 25354 | Nevada |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 25354 | Nevada |
Profile Details
| NPI number | 1881190668 |
|---|---|
| LBN Legal business name | Warren, Shay Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2018 |
| Last updated | Aug 6th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881190668 | NPPES |
| Other | 16135199 | CAQH | |
| MEDICAID | 250031612 | CAQH |
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