1598898991 NPI number — HORIZON MARKETING & RESEARCH INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598898991 NPI number — HORIZON MARKETING & RESEARCH INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HORIZON MARKETING & RESEARCH INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NEB DOCTORS OF NC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598898991
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 922189
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORCROSS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30010-2189
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-396-4994
Provider Business Mailing Address Fax Number:
888-835-3354

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 N. MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 2308
Provider Business Practice Location Address City Name:
WINSTON SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27101-3885
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-865-6424
Provider Business Practice Location Address Fax Number:
800-279-3025
Provider Enumeration Date:
03/14/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KAY
Authorized Official First Name:
SUE
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR VICE PRESIDENT
Authorized Official Telephone Number:
888-588-9630

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X , with the licence number:  054048 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 540448 . This is a "SEC. OF STATE LICENSE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 0540448 . This is a "SEC. OF STATE CORPORATE ID NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 02007 . This is a "NC BOARD OF PHARMACY" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 046UG . This is a "BLUE CROSS BLUE SHEILD" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 467220 . This is a "THE JOINT COMMISSION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7704331 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8013 . This is a "CITY OF WINSTON-SALEM" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".