Hornback, Brian D
Hornback, Brian D is an individual health care provider with primary practice located at 2560 N Shadeland Ave Ste A , Indianapolis IN 46219-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Hornback, Brian D can be contacted via phone (800) 890-6220.Contact Information
Primary practice address
2560 N Shadeland Ave Ste A
Indianapolis IN 46219-1706
Phone: (800) 890-6220
Fax: (317) 275-8018
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 36371 | Kentucky |
Profile Details
NPI number | 1528036043 |
---|---|
LBN Legal business name | Hornback, Brian D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2006 |
Last updated | Mar 29th, 2024 - about last year |
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 | 1528036043 | NPPES |
Kentucky | Other | 000000355688 | BCBS |
Kentucky | Other | 220033056 | BCBS |
Kentucky | MEDICAID | 2005014-000 | BCBS |
Kentucky | MEDICAID | 64050552 | BCBS |
Kentucky | MEDICAID | 2414168 | BCBS |
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