Provider Demographics
NPI:1154680015
Name:HORST, NATHEN ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHEN
Middle Name:ALAN
Last Name:HORST
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31217 PAUBA RD
Mailing Address - Street 2:STE 204
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6221
Mailing Address - Country:US
Mailing Address - Phone:951-310-0064
Mailing Address - Fax:
Practice Address - Street 1:31217 PAUBA RD SUITE 204
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592
Practice Address - Country:US
Practice Address - Phone:951-693-2208
Practice Address - Fax:951-693-4197
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor