Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 008801 | OH |
NPI | 1104927599 |
---|---|
Provider Name | Dr. Kristie Hornick |
First Address | Toledo, OH 43606-0098 |
Second Address | Toledo, OH 43606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 16/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10256 | PARAMOUNT (01) | |
1104927599 | (05) | MI |
2676242 | (05) | OH |
7062846 | AETNA (01) |