Horn, Stuart Jerome
Horn, Stuart Jerome is an individual health care provider with primary practice located at 599 Main St , Manchester CT 06040-5156. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Horn, Stuart Jerome can be contacted via phone (860) 647-1565.Contact Information
Primary practice address
599 Main St
Manchester CT 06040-5156
Phone: (860) 647-1565
Fax: (860) 643-2796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5096 | Connecticut |
Profile Details
| NPI number | 1053449330 |
|---|---|
| LBN Legal business name | Horn, Stuart Jerome |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053449330 | NPPES |
| Connecticut | Other | 020005096CT01 | ANTHEM FEDERAL |
| Connecticut | Other | 120905 | ANTHEM FEDERAL |
| Connecticut | Other | Z05940 | ANTHEM FEDERAL |
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