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Contact Information

DERON L HORMAN, MD
1134 N MAIN ST STE 1100
BELLEFONTAINE, OH43311
 Phone: 937-651-6820
 Fax: 937-651-6822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DERON L HORMAN · (Male)

NPI Number 1003807231
Status Active
Credentials MD
Entity Individual
Enumeration date 11/05/2005
Last updated 05/24/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35067435H
  • OH Medicaid 2055430
  • OH Other P00386660 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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