Doctor Name: | DR. JOHN WILLIAM HORLEBEIN |
NPI Number: | 1144315177 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | P000000694 |
Business Practice Address: | 219 E Johnson Ave Chelan, WA - 988168631 |
Business Phone Number: | 5096832131 |
Business Fax Number: | 8553536993 |
Mailing Address: | Po Box 2430, CHELAN |
State: | WA |
Postal Code: | 988162430 |
Phone Number: | 5096832131 |
Fax Number: | 8553536993 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | P000000694 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |