| H Douglas Hornbeck | |
|
4510 Collins Blvd Suite 4 Ashtabula OH 44004-6954 | |
| (330) 270-5454 | |
| (330) 270-0567 |
| Full Name | H Douglas Hornbeck |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4510 Collins Blvd, Ashtabula, Ohio |
| Authorized Official Name and Position | H Douglas Hornbeck (OWNER) |
| Authorized Official Contact | 3302705454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H Douglas Hornbeck Po Box 881 Ashtabula OH 44005-0881 Ph: (440) 992-9777 | H Douglas Hornbeck 4510 Collins Blvd Suite 4 Ashtabula OH 44004-6954 Ph: (330) 270-5454 |
| NPI Number | 1316132988 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 03/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316132988 | NPI | - | NPPES |
| 000000199668 | Other | OH | ANTHEM |
| SP00131 | Other | OH | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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