1972687028 NPI number — DR. TY E. HORNSBY

Table of content: (NPI 1972687028)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972687028 NPI number — DR. TY E. HORNSBY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. TY E. HORNSBY
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:
Provider Other Organization Name Type Code:
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:
1972687028
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
902 FLEMING ST.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSONVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28791
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-693-4163
Provider Business Mailing Address Fax Number:
828-693-4121

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
902 FLEMING ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSONVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-693-4163
Provider Business Practice Location Address Fax Number:
828-693-4121
Provider Enumeration Date:
10/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HORNSBY
Authorized Official First Name:
TY
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
828-693-4163

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X , with the licence number:  3936 , 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: 94145 . This is a "BCBSOF NC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 8994145 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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