Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OS009683L | PA |
NPI | 1033102520 |
---|---|
Provider Name | Paul W. Horchos |
First Address | Scranton, PA 18508-2641 |
Second Address | Scranton, PA 18508-2641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 17/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001654303-0002 | (05) | PA |
20012325 | AMERIHEALTH (01) | PA |
2159434 | AETNA (01) | PA |
21992-1067 | GEISINGER (01) | PA |
50075034 | CAPITAL BLUE CROSS (01) | PA |
804445 | BLUE CARE HMO (FPH) (01) | PA |
902508 | BLUE CARE (01) | PA |
G47969 | (02) | PA |
P00121395 | RAILROAD MEDICARE (01) | PA |