Van Horn, Roger Ivan

Van Horn, Roger Ivan is an sole proprietor health care provider with primary practice located at 928 N University Dr , Nacogdoches TX 75961-4643. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Van Horn, Roger Ivan can be contacted via phone (936) 564-2478.

Contact Information

Primary practice address
928 N University Dr Nacogdoches TX 75961-4643
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9400 Texas

Profile Details

NPI number 1255475257
LBN Legal business name Van Horn, Roger Ivan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
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.

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