Hornbeck, Lamont Wallace
Hornbeck, Lamont Wallace is an sole proprietor health care provider with primary practice located at 729 Sunrise Ave Suite 700, Roseville CA 95661-4565. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Hornbeck, Lamont Wallace can be contacted via phone (916) 782-3721.Contact Information
Primary practice address
729 Sunrise Ave Suite 700
Roseville CA 95661-4565
Phone: (916) 782-3721
Fax: (916) 782-0618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G0517340 | California |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | G0517340 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G0517340 | California |
Profile Details
| NPI number | 1871522664 |
|---|---|
| LBN Legal business name | Hornbeck, Lamont Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1871522664 | NPPES |
| California | MEDICAID | 00G517340 |
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