Healthcare Provider Details

I. General information

NPI: 1033428719
Provider Name (Legal Business Name): HORIZON HEALTHWORKS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2822 VENTURE DR SUITE 2
MARQUETTE MI
49855-8631
US

IV. Provider business mailing address

83 N BASIN DR
NEGAUNEE MI
49866-9646
US

V. Phone/Fax

Practice location:
  • Phone: 906-475-5742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number2301009663
License Number StateMI

VIII. Authorized Official

Name: CHRISTA GOODMAN HUBBARD
Title or Position: OWNER
Credential:
Phone: 701-340-2793