1033466008 NPI number — DR. FRANCES CHARLENE BRIONES HORENSTEIN MD

Table of content: DR. FRANCES CHARLENE BRIONES HORENSTEIN MD (NPI 1033466008)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033466008 NPI number — DR. FRANCES CHARLENE BRIONES HORENSTEIN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HORENSTEIN
Provider First Name:
FRANCES CHARLENE
Provider Middle Name:
BRIONES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRIONES
Provider Other First Name:
FRANCES CHARLENE
Provider Other Middle Name:
PIANO
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1033466008
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/30/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1717 W MAIN ST STE 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWARK
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43055-1362
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
220-564-2950
Provider Business Mailing Address Fax Number:
220-564-2951

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1717 W MAIN ST STE 203
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43055-1362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
220-564-2950
Provider Business Practice Location Address Fax Number:
220-564-2951
Provider Enumeration Date:
08/09/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  35.126546 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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