Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 35038120 | OH |
N | 207RH0003X | Hematology & Oncology | 4301058940 | MI |
NPI | 1023015351 |
---|---|
Provider Name | William L Horvath |
First Address | Sylvania, OH 43560-2114 |
Second Address | Sylvania, OH 43560-2114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 01/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0294079 | (05) | OH |
A75518 | (02) | |
H00419406 | MEDICARE (01) | OH |
P00934620 | RRMC (01) | OH |