Organization
HORIZON HEALTHWORKS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA GOODMAN HUBBARD (OWNER)
(701) 340-2793
Entity
Organization
Contact information
Practice address
2822 VENTURE DR, SUITE 2, MARQUETTE, MI 49855-8631
(906) 475-5742
Mailing address
83 N BASIN DR, NEGAUNEE, MI 49866-9646
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
2301009663
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14240
—
ND
01
—
N712559
MEDICARE GROUP PTAN
—
01
—
N712560
MEDICARE INDIVIDUAL PTAN
ND
Enumeration date
09/29/2010
Last updated
09/29/2010
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