Warren, Walter Richard
Warren, Walter Richard is an sole proprietor health care provider with primary practice located at 825 Second Avenue East Suite A3, Bowling Green KY 42101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Warren, Walter Richard can be contacted via phone (270) 796-6847.Contact Information
Primary practice address
825 Second Avenue East Suite A3
Bowling Green KY 42101
Phone: (270) 796-6847
Fax: (270) 796-6841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 18710 | Kentucky |
Profile Details
| NPI number | 1427057108 |
|---|---|
| LBN Legal business name | Warren, Walter Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427057108 | NPPES |
| Kentucky | MEDICAID | 64187107 |
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