Provider Demographics
NPI:1609371772
Name:HORIZON HEALTHCARE, INC
Entity Type:Organization
Organization Name:HORIZON HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZILLMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-301-6384
Mailing Address - Street 1:217 WISCONSIN AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-4946
Mailing Address - Country:US
Mailing Address - Phone:414-301-6384
Mailing Address - Fax:414-301-6384
Practice Address - Street 1:617 N 3RD AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-2908
Practice Address - Country:US
Practice Address - Phone:414-376-5577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty