Healthcare Provider Details

I. General information

NPI: 1538800354
Provider Name (Legal Business Name): NICHOLAS HORA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 ASSOCIATES DR
DUBUQUE IA
52002-2201
US

IV. Provider business mailing address

1500 ASSOCIATES DR
DUBUQUE IA
52002-2201
US

V. Phone/Fax

Practice location:
  • Phone: 563-584-4460
  • Fax: 563-584-4395
Mailing address:
  • Phone: 563-584-4460
  • Fax: 563-584-4395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO-55773
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: