Provider Demographics
NPI:1225178296
Name:HORNE, ALLEN B (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:B
Last Name:HORNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:905 CHINQUAPIN RD
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-1001
Mailing Address - Country:US
Mailing Address - Phone:703-356-5529
Mailing Address - Fax:703-448-8211
Practice Address - Street 1:6715 WHITTIER AVENUE
Practice Address - Street 2:100
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101
Practice Address - Country:US
Practice Address - Phone:703-356-5529
Practice Address - Fax:703-448-8211
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101023282207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC61931Medicare UPIN