Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | LP00051 | OH |
NPI | 1063078053 |
---|---|
Provider Name | Mr. Ferencz Horvath |
First Address | Hampton, VA 23667-0001 |
Second Address | Hampton, VA 23667-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2019 |
Last Update Date | 24/05/2019 |