Provider Demographics
NPI:1033428719
Name:HORIZON HEALTHWORKS PC
Entity Type:Organization
Organization Name:HORIZON HEALTHWORKS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTA
Authorized Official - Middle Name:GOODMAN
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-340-2793
Mailing Address - Street 1:83 N BASIN DR
Mailing Address - Street 2:
Mailing Address - City:NEGAUNEE
Mailing Address - State:MI
Mailing Address - Zip Code:49866-9646
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2822 VENTURE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-8631
Practice Address - Country:US
Practice Address - Phone:906-475-5742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009663111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND14240Medicaid
N712559OtherMEDICARE GROUP PTAN
NDN712560OtherMEDICARE INDIVIDUAL PTAN