Horn, Thomas Dag

Horn, Thomas Dag is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Horn, Thomas Dag can be contacted via phone (176) 658-9300.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (176) 658-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X E-1269 Arkansas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E-1269 Arkansas

Profile Details

NPI number 1275620320
LBN Legal business name Horn, Thomas Dag
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Sep 16th, 2019 - about 6 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 1275620320 NPPES
Arkansas MEDICAID 131654001

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