Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 2008-00739 | NC |
N | 208800000X | Urologist | 20134 | AZ |
N | 208800000X | Urologist | 32513 | SC |
Y | 208800000X | Urologist | 40582 | IA |
NPI | 1033158209 |
---|---|
Provider Name | Dr. Alex M Horchak |
First Address | Dubuque, IA 52001-6358 |
Second Address | Dubuque, IA 52001-6358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
052283 | (05) | AZ |
149HV | BCBS (01) | NC |
325134 | (05) | SC |
E75660 | (02) |