Horn, Jeffrey S
Horn, Jeffrey S is an individual health care provider with primary practice located at 2108 E 3Rd St Suite 200, Chattanooga TN 37404-2600. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Horn, Jeffrey S can be contacted via phone (423) 267-0466.Contact Information
Primary practice address
2108 E 3Rd St Suite 200
Chattanooga TN 37404-2600
Phone: (423) 267-0466
Fax: (423) 757-0770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 49079 | Tennessee |
Profile Details
| NPI number | 1487864666 |
|---|---|
| LBN Legal business name | Horn, Jeffrey S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jun 25th, 2015 - about 11 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 | 1487864666 | NPPES |
| Georgia | MEDICAID | 003129103A | |
| Georgia | Other | 4337802 | |
| Georgia | MEDICAID | 153614 | |
| Georgia | Other | MD49079 | |
| Georgia | Other | P01125444 | |
| Georgia | MEDICAID | 003129103D | |
| Georgia | MEDICAID | 1530185 |
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