# ELI JACOB HORN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518259027
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 55646 | MN | Yes |

## Other

- **Enumeration date:** 05/03/2011
- **Last updated:** 01/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001-0100617 | MEDICA | — |
| 01 | — | 1518259027 | BCBS | — |
| 05 | — | 1518259027 | — | MN |
| 01 | — | P01111437 | RR MEDICARE | — |