Horton, Charles Richardson

Horton, Charles Richardson is an individual health care provider with primary practice located at 115 Manning Drive Suite A101, Huntsville AL 35801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Horton, Charles Richardson can be contacted via phone (256) 533-1030.

Contact Information

Primary practice address
115 Manning Drive Suite A101 Huntsville AL 35801
Fax: (256) 533-1043
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19649 Alabama

Profile Details

NPI number 1871574608
LBN Legal business name Horton, Charles Richardson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jan 3rd, 2011 - about 13 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 1871574608 NPPES
Alabama Other 63-0654364 TAXPAYER ID NUMBER
Alabama Other 36402 TAXPAYER ID NUMBER

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