Horton, Bruce David
Horton, Bruce David is an individual health care provider with primary practice located at 16246 Prince Dr , South Holland IL 60473-3233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Horton, Bruce David can be contacted via phone (708) 333-4200.Contact Information
Primary practice address
16246 Prince Dr
South Holland IL 60473-3233
Phone: (708) 333-4200
Fax: (708) 333-8585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | Illinois |
Profile Details
| NPI number | 1952389900 |
|---|---|
| LBN Legal business name | Horton, Bruce David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1952389900 | NPPES |
| Illinois | Other | 1623863 | BCBS |
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