Horak, Jeffrey A

Horak, Jeffrey A is an individual health care provider with primary practice located at 712 South Cascade Street , Fergus Falls MN 56537-2813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Horak, Jeffrey A can be contacted via phone (218) 736-8000.

Contact Information

Primary practice address
712 South Cascade Street Fergus Falls MN 56537-2813
Phone: (218) 736-8000
Fax: (218) 736-8757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301054167 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 49151 Minnesota

Profile Details

NPI number 1447259973
LBN Legal business name Horak, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 16th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447259973 NPPES
Michigan MEDICAID 3399380

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