Provider Demographics
NPI:1811564032
Name:JONATHAN M HORBAL DO PLC
Entity Type:Organization
Organization Name:JONATHAN M HORBAL DO PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HORBAL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:989-895-5007
Mailing Address - Street 1:414 N TUSCOLA RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-6962
Mailing Address - Country:US
Mailing Address - Phone:989-895-5007
Mailing Address - Fax:989-895-8032
Practice Address - Street 1:414 N TUSCOLA RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6962
Practice Address - Country:US
Practice Address - Phone:989-895-5007
Practice Address - Fax:989-895-8032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty