Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | MD062966L | PA |
Y | 207RP1001X | Pulmonary Disease | MD062966L | PA |
NPI | 1073565941 |
---|---|
Provider Name | Craig Peter Horvat |
First Address | Manheim, PA 17545-8686 |
Second Address | Lancaster, PA 17602-2374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 24/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1847391/01 | (05) | PA |
G88620 | (02) |