Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 00044953 | WA |
Y | 207RP1001X | Pulmonary Disease | 00044953 | WA |
NPI | 1063440998 |
---|---|
Provider Name | David J Horne |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104-2420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 07/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0258627 | LNI (01) | WA |
1063440998 | (05) | WA |
H97708 | (02) | WA |