Basic Information
Provider Information
NPI: 1508997321
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WARREN
FirstName: JAMES
MiddleName: FRANCIS
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 520 S 7TH ST
Address2:  
City: VINCENNES
State: IN
PostalCode: 475911038
CountryCode: US
TelephoneNumber: 8128825220
FaxNumber: 8128853917
Practice Location
Address1: 520 S 7TH ST
Address2:  
City: VINCENNES
State: IN
PostalCode: 475911038
CountryCode: US
TelephoneNumber: 8128825220
FaxNumber: 8128853917
Other Information
ProviderEnumerationDate: 03/07/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X01060168AINY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home