Horn, Nichole C

Horn, Nichole C is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. 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. Horn, Nichole C can be contacted via phone (601) 579-5010.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 579-5010
Fax: (601) 579-3067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00117 Mississippi

Profile Details

NPI number 1467682385
LBN Legal business name Horn, Nichole C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2009
Last updated Mar 11th, 2016 - about 10 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 1467682385 NPPES
Mississippi Other P00775212 RAILROAD MEDICARE
Mississippi Other 9843426 RAILROAD MEDICARE
Mississippi MEDICAID 02285303 RAILROAD MEDICARE
Mississippi Other 1229636 RAILROAD MEDICARE

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