Individual
DR. TIMOTHY DALE HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
536 BULWER ST, WHEELERSBURG, OH 45694-1907
(740) 574-4745
(740) 574-5144
Mailing address
536 BULWER ST, PO BOX 158, WHEELERSBURG, OH 45694-1907
(740) 574-4745
(740) 574-5144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3321 T1247
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417749
—
OH
Enumeration date
11/21/2005
Last updated
09/06/2010
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