Provider Demographics
NPI:1972839363
Name:HORNE, MICHELE ELIZABETH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:ELIZABETH
Last Name:HORNE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 574
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93942-0574
Mailing Address - Country:US
Mailing Address - Phone:831-643-9658
Mailing Address - Fax:831-643-9668
Practice Address - Street 1:147 EL DORADO ST
Practice Address - Street 2:SUITE B
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3127
Practice Address - Country:US
Practice Address - Phone:831-643-9658
Practice Address - Fax:831-643-9668
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY226968207R00000X
LA202470207R00000X
CAC54041207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC519ZMedicare PIN