Horner, Timothy Dale

Horner, Timothy Dale is an sole proprietor health care provider with primary practice located at 536 Bulwer St , Wheelersburg OH 45694-1907. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Horner, Timothy Dale can be contacted via phone (740) 574-4745.

Contact Information

Primary practice address
536 Bulwer St Wheelersburg OH 45694-1907
Fax: (740) 574-5144
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3321 T1247 Ohio

Profile Details

NPI number 1194708511
LBN Legal business name Horner, Timothy Dale
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Sep 6th, 2010 - about 14 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 1194708511 NPPES
Ohio MEDICAID 0417749

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