1437456977 NPI number — DANIEL W. HORNE M.D., FACS

Table of content: (NPI 1437456977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437456977 NPI number — DANIEL W. HORNE M.D., FACS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DANIEL W. HORNE M.D., FACS
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:
6
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:
1437456977
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/14/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3464 S. WILLOW ST.
Provider Second Line Business Mailing Address:
SUITE 159
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80231-4531
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-755-2900
Provider Business Mailing Address Fax Number:
303-745-7997

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3464 S. WILLOW ST.
Provider Second Line Business Practice Location Address:
SUITE 159
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80231-4531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-755-2900
Provider Business Practice Location Address Fax Number:
303-745-7997
Provider Enumeration Date:
02/18/2011

Additional Information

Authorized Official

Authorized Official Last Name:
HORNE
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
WESLEY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
303-755-2900

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  21909 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 21909 . This is a "STATE LICENSE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com