Horn, Russell R

Horn, Russell R is an individual health care provider with primary practice located at 122 N Park Ave , Valley Center KS 67147-2553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Horn, Russell R can be contacted via phone (316) 755-1511.

Contact Information

Primary practice address
122 N Park Ave Valley Center KS 67147-2553
Phone: (316) 755-1511
Fax: (316) 755-0991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0520832 Kansas

Profile Details

NPI number 1528062148
LBN Legal business name Horn, Russell R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jul 1st, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528062148 NPPES
Kansas MEDICAID 100229730E
Kansas Other 0000106575
Kansas MEDICAID 100416440A
Kansas Other P00057331
Kansas MEDICAID 100229730C
Kansas Other 103177
Kansas Other 111178
Kansas Other 607740
Kansas Other 111178

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