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Contact Information

GLEN R HORNE, CRNA
5 CALHOUN AVE
UNIT 606
DESTIN, FL32541-5509
 Phone: 404-310-6048
 Fax: 404-255-1831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for GLEN R HORNE · (Male)

NPI # 1013088194
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 11/13/2006
Last updated 12/08/2016 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 9397267
  • NC License # 110691
  • GA Medicaid 000521435B
  • GA Other 52159539-001 BLUE CROSS BLUE SHIELD
  • GA Other 430010318 RAIL ROAD MEDICARE
  • GA Other 430010318 TRI-CARE
  • GA Other 156961100 U.S. DEPT OF LABOR
  • GA Other 20-02624 UNITED HEALTHCARE
  • GA Other 9975585 UNIVERSAL HEALTHCARE
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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