Individual
DONALD RAY HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
391 S SHORE DR STE 214, BATTLE CREEK, MI 49014-5446
(269) 781-9119
(269) 781-7872
Mailing address
391 S SHORE DR STE 214, BATTLE CREEK, MI 49014-5446
(269) 964-0153
(855) 877-5812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301005471
MI
103TC1900X
Counseling Psychologist
Primary
6361004266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000006550
PHYSICIANS HEALTH PLAN
MI
01
—
7509107630
BCBS OF MI
MI
Enumeration date
10/06/2006
Last updated
03/22/2024
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