Horton, Tina M

Horton, Tina M is an individual health care provider with primary practice located at 2121 W Chandler Blvd Suite 110, Chandler AZ 85224-6545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Horton, Tina M can be contacted via phone (480) 963-2233.

Contact Information

Primary practice address
2121 W Chandler Blvd Suite 110 Chandler AZ 85224-6545
Fax: (480) 963-2277
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2767 Arizona

Profile Details

NPI number 1467456418
LBN Legal business name Horton, Tina M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Dec 16th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467456418 NPPES
Arizona Other AZ0146780 BCBS
Arizona MEDICAID 880858 BCBS

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