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
Phone: (740) 574-4745
Fax: (740) 574-5144
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194708511 | NPPES |
Ohio | MEDICAID | 0417749 |
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