Horner, Samuel Harvey

Horner, Samuel Harvey is an individual health care provider with primary practice located at 40 2Nd St Nw , Cleveland TN 37311-5009. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Horner, Samuel Harvey can be contacted via phone (423) 476-5341.

Contact Information

Primary practice address
40 2Nd St Nw Cleveland TN 37311-5009
Phone: (423) 476-5341
Fax: (423) 472-0321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 000963 Tennessee

Profile Details

NPI number 1164412102
LBN Legal business name Horner, Samuel Harvey
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Sep 23rd, 2015 - about 9 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 1164412102 NPPES
Tennessee MEDICAID 113503
Tennessee Other 113503
Tennessee Other 602003553

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