Horn, Jerry Wayne

Horn, Jerry Wayne is an individual health care provider with primary practice located at 1901 S Palestine St , Athens TX 75751-5701. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Horn, Jerry Wayne can be contacted via phone (903) 681-5449.

Contact Information

Primary practice address
1901 S Palestine St Athens TX 75751-5701
Phone: (903) 681-5449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 88274 Texas

Profile Details

NPI number 1013485895
LBN Legal business name Horn, Jerry Wayne
Credentials ATP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2018
Last updated Nov 9th, 2018 - about 8 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 1013485895 NPPES
Texas MEDICAID 88274

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