Hortman, Kenneth

Hortman, Kenneth is an individual health care provider with primary practice located at 143 E Crusselle St , Roberta GA 31078-4866. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Hortman, Kenneth can be contacted via phone (478) 836-2994.

Contact Information

Primary practice address
143 E Crusselle St Roberta GA 31078-4866
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X

Profile Details

NPI number 1619329307
LBN Legal business name Hortman, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Jul 6th, 2016 - 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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