Provider Demographics
NPI:1558575266
Name:HORNE CHIROPRACTIC CENTER, P.A.
Entity Type:Organization
Organization Name:HORNE CHIROPRACTIC CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-437-2600
Mailing Address - Street 1:4143 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-4455
Mailing Address - Country:US
Mailing Address - Phone:410-437-2600
Mailing Address - Fax:410-437-3609
Practice Address - Street 1:4143 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-4455
Practice Address - Country:US
Practice Address - Phone:410-437-2600
Practice Address - Fax:410-437-3609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01293111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM338Medicare ID - Type Unspecified
MDT59567Medicare UPIN