Provider Demographics
NPI:1770711350
Name:HORN, MICHELLE ERIKA (DO)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ERIKA
Last Name:HORN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4897 YORK ROAD
Mailing Address - Street 2:
Mailing Address - City:BUCKINGAM
Mailing Address - State:PA
Mailing Address - Zip Code:18912
Mailing Address - Country:US
Mailing Address - Phone:215-794-7471
Mailing Address - Fax:215-794-2576
Practice Address - Street 1:2800 KELLY RD STE 300
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-3630
Practice Address - Country:US
Practice Address - Phone:215-348-7000
Practice Address - Fax:215-348-7428
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS15734207Q00000X
PAOS-15734207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine