Individual provider · Type 1 NPI

Blake Dale Horne

Student in an Organized Health Care Education/Training Program · Canal Winchester, OH

NPI number 1255898649 Active

Practice location

6965 Greensview Village Dr
Canal Winchester, OH 43110-8356

Other practice locations

  • 199 Stormont St, New Concord, OH 43762-1160 · (614) 205-3387

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255898649

Blake Dale Horne's National Provider Identifier is 1255898649, issued on Feb 21, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canal Winchester, OH. The record was last updated on Feb 21, 2019.