Individual
JONATHAN L. WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
110 N HIGH ST, KENTON, OH 43326-1549
(419) 673-0492
Mailing address
PO BOX 635, KENTON, OH 43326-0635
(419) 673-0492
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4240/T977
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0869369
—
OH
01
—
P00076808
RAILROAD MEDICARE #
OH
Enumeration date
05/05/2006
Last updated
01/16/2009
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