Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC002515L | PA |
Y | 222Z00000X | Podiatrist | SC002515L | PA |
NPI | 1033117916 |
---|---|
Provider Name | Dr. David H Warner |
First Address | Nazareth, PA 18064-2013 |
Second Address | Nazareth, PA 18064-2013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 06/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01579281 | (05) | PA |
01824801 | CAPITAL BC PROVIDER # (01) | PA |
T82285 | (02) | PA |