Horner, Philip Henry

Horner, Philip Henry is an individual health care provider with primary practice located at 1031 Morgantown Ave , Fairmont WV 26554-4355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Horner, Philip Henry can be contacted via phone (304) 333-8840.

Contact Information

Primary practice address
1031 Morgantown Ave Fairmont WV 26554-4355
Phone: (304) 333-8840
Fax: (304) 333-8850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13530 West Virginia

Profile Details

NPI number 1760481931
LBN Legal business name Horner, Philip Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Apr 6th, 2022 - about 3 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 1760481931 NPPES
West Virginia Other 4390268 AETNA
West Virginia Other 880735 AETNA
West Virginia Other 080184665 AETNA
West Virginia Other W44306 AETNA
West Virginia Other WV13530C AETNA
West Virginia Other 836888 AETNA
West Virginia MEDICAID 0057187000 AETNA

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