Provider Demographics
NPI:1841371812
Name:HORN & BACHE, P.A.
Entity type:Organization
Organization Name:HORN & BACHE, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BACHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-965-9638
Mailing Address - Street 1:4140 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3901
Mailing Address - Country:US
Mailing Address - Phone:561-965-9638
Mailing Address - Fax:
Practice Address - Street 1:4140 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-3901
Practice Address - Country:US
Practice Address - Phone:561-965-9638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL24270Medicare ID - Type Unspecified