Horton, Jack D

Horton, Jack D is an individual health care provider with primary practice located at 8505 Arlington Blvd Suite 200, Fairfax VA 22031-4621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Horton, Jack D can be contacted via phone (703) 698-8525.

Contact Information

Primary practice address
8505 Arlington Blvd Suite 200 Fairfax VA 22031-4621
Phone: (703) 698-8525
Fax: (703) 849-1918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101031625 Virginia

Profile Details

NPI number 1518964568
LBN Legal business name Horton, Jack D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Oct 23rd, 2007 - about 17 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 1518964568 NPPES
Other 502857 NCPPO
Other 541042964 NCPPO
Other 541042964 NCPPO
Other 486313 NCPPO
Other 541042964 NCPPO
Other 541042964 NCPPO
Other 541042964 NCPPO
Other 4091816 NCPPO
Other 6975-0005 NCPPO
Other 060005780 NCPPO
MEDICAID 006050450 NCPPO
Other 541042964 NCPPO
Other 011553 NCPPO
Other 20727 NCPPO

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