Hornaday, Stephen

Hornaday, Stephen is an individual health care provider with primary practice located at 971 Lakeland Dr Suite 202, Jackson MS 39216-4643. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hornaday, Stephen can be contacted via phone (601) 362-1990.

Contact Information

Primary practice address
971 Lakeland Dr Suite 202 Jackson MS 39216-4643
Phone: (601) 362-1990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R852030 Mississippi

Profile Details

NPI number 1821039652
LBN Legal business name Hornaday, Stephen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Nov 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821039652 NPPES
North Carolina MEDICAID 8052886
North Carolina MEDICAID 00126846

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