Provider Demographics
NPI:1235325655
Name:HOWARD K. HORNE, MD
Entity Type:Organization
Organization Name:HOWARD K. HORNE, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-691-6897
Mailing Address - Street 1:800 OSTRUM ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1015
Mailing Address - Country:US
Mailing Address - Phone:610-691-6897
Mailing Address - Fax:
Practice Address - Street 1:800 OSTRUM ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1015
Practice Address - Country:US
Practice Address - Phone:610-691-6897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD454091207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1696374OtherHIGHMARK BLUE SHIELD
I21280OtherUPIN
I21280OtherUPIN