Provider Demographics
NPI:1225090285
Name:HORVATH, EDWARD MICHAEL (DC)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:MICHAEL
Last Name:HORVATH
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 1:1060 S VALLEY FORGE ROAD
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-4526
Mailing Address - Country:US
Mailing Address - Phone:215-393-8999
Mailing Address - Fax:215-393-9999
Practice Address - Street 1:1060 S VALLEY FORGE ROAD
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4526
Practice Address - Country:US
Practice Address - Phone:215-393-8999
Practice Address - Fax:215-393-9999
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004235L111N00000X
PAAJ004235L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0407836000OtherKEYSTONE 65
585869OtherPERSONAL CHOICE
0407836000OtherKEYSTONE
1772520OtherUNITED HEALTHCARE
585869OtherPERSONAL CHOICE 65
85428OtherAETNA
1772520OtherUNITED HEALTHCARE MEDICA
2327004330001OtherTHE GUARDIAN
E85869OtherAMERIHEALTH
E85869OtherICHP
0407836000OtherKEYSTONE 65