Hornbake, Earl Rodney

Hornbake, Earl Rodney is an individual health care provider with primary practice located at 10 Wildwood Medical Ctr , Essex CT 06426-1154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hornbake, Earl Rodney can be contacted via phone (860) 767-0145.

Contact Information

Primary practice address
10 Wildwood Medical Ctr Essex CT 06426-1154
Phone: (860) 767-0145
Fax: (860) 767-0021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 034326 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 034326 Connecticut

Profile Details

NPI number 1770584906
LBN Legal business name Hornbake, Earl Rodney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 24th, 2012 - about 13 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 1770584906 NPPES
Other C03139 MEDICARE GROUP NUMBER
Other 034326 MEDICARE GROUP NUMBER
MEDICAID 001343269 MEDICARE GROUP NUMBER

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