Horne, Willus Mark
Horne, Willus Mark is an individual health care provider with primary practice located at 1203 Jefferson St , Laurel MS 39440-4354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Horne, Willus Mark can be contacted via phone (601) 649-2863.Contact Information
Primary practice address
1203 Jefferson St
Laurel MS 39440-4354
Phone: (601) 649-2863
Fax: (601) 649-9479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12127 | Mississippi |
Profile Details
| NPI number | 1417961012 |
|---|---|
| LBN Legal business name | Horne, Willus Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 11th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417961012 | NPPES |
| Mississippi | MEDICAID | 00010074 |
Popular Providers
-
Redding, Alison Cegielski
1203 Jefferson St , Laurel MS 39440-4354 -
Green, Shari B
1010 Northern Blvd Ste 110, Great Neck NY 11021-5306 -
Turel, Burgese Keki
117 South 11Th Avenue , Laurel MS 39440 -
Norton, Mark
1203 Jefferson St , Laurel MS 39440-4354 -
Shores, Joel Thomas
1203 Jefferson St , Laurel MS 39440-4354 -
Morrison, Bennett T
2901 Olney Sandy Spring Rd , Olney MD 20832-1521 -
Rogers, Herbert Graham
1203 Jefferson St , Laurel MS 39440-4354 -
Sims, Michael Adrian
1220 Jefferson St , Laurel MS 39440-4355