Provider Demographics
NPI:1902215072
Name:RICHARD H WARN DPM INC
Entity Type:Organization
Organization Name:RICHARD H WARN DPM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:WARN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:216-227-3338
Mailing Address - Street 1:PO BOX 21304
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-0304
Mailing Address - Country:US
Mailing Address - Phone:216-227-3338
Mailing Address - Fax:216-691-0403
Practice Address - Street 1:3570 WARRENSVILLE CENTER RD
Practice Address - Street 2:STE 102C
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5288
Practice Address - Country:US
Practice Address - Phone:216-227-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002185213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty