Provider Demographics
NPI:1396717476
Name:HORVATH, ROBERT F (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:HORVATH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CATTELL ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-7606
Mailing Address - Country:US
Mailing Address - Phone:610-258-0252
Mailing Address - Fax:610-258-0663
Practice Address - Street 1:300 CATTELL ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-7606
Practice Address - Country:US
Practice Address - Phone:610-258-0252
Practice Address - Fax:610-258-0663
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004236L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA593132OtherBLUE SHIELD
PA02798200OtherBLUE CROSS
PA593132Medicare ID - Type Unspecified
PAU29372Medicare UPIN