Provider Demographics
NPI:1295146827
Name:HORLBECK, WILLIAM (PA-C, ATC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:HORLBECK
Suffix:
Gender:M
Credentials:PA-C, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8737 UNION CENTRE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5065
Mailing Address - Country:US
Mailing Address - Phone:513-347-9999
Mailing Address - Fax:513-645-2231
Practice Address - Street 1:8737 UNION CENTRE BLVD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5065
Practice Address - Country:US
Practice Address - Phone:513-347-9999
Practice Address - Fax:513-645-2231
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.007490RX363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant