Hornback, Brian D

Hornback, Brian D is an individual health care provider with primary practice located at 2560 N Shadeland Ave Ste A , Indianapolis IN 46219-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Hornback, Brian D can be contacted via phone (800) 890-6220.

Contact Information

Primary practice address
2560 N Shadeland Ave Ste A Indianapolis IN 46219-1706
Phone: (800) 890-6220
Fax: (317) 275-8018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 36371 Kentucky

Profile Details

NPI number 1528036043
LBN Legal business name Hornback, Brian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Mar 29th, 2024 - about 2 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 1528036043 NPPES
Kentucky Other 000000355688 BCBS
Kentucky Other 220033056 BCBS
Kentucky MEDICAID 2005014-000 BCBS
Kentucky MEDICAID 64050552 BCBS
Kentucky MEDICAID 2414168 BCBS

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