Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 01063290 | IN |
NPI | 1053437541 |
---|---|
Provider Name | Dr. Eric M. Horn |
First Address | Carmel, IN 46032-3318 |
Second Address | Carmel, IN 46032-3318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 22/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000638918 | ANTHEM BLUE CROSS AND BLUE SHIELD (01) | IN |
200857750 | (05) | IN |