Active NPIIndividual provider

Earl R Hornbake III, MD

Internal Medicine in Essex, Connecticut

NPI Number1770584906
Practice location
10 Wildwood Medical Ctr, Essex, CT 06426-1154
Fax
860-767-0021
Last updated
July 24, 2012

Earl Rodney Hornbake is an Internal Medicine based in Essex, CT. Earl Rodney Hornbake practices in Essex, CT and has the professional credentials of MD. The NPI Number for Earl Rodney Hornbake is 1770584906 and holds a License No. 034326 (CT). The current practice location address for Earl Rodney Hornbake is 10 Wildwood Medical Ctr, Essex, CT 06426-1154 and can be reached out via phone at 860-767-0145 and via fax at 860-767-0021.

Provider Profile Details

NPI Number
1770584906
Provider Name
Earl Rodney Hornbake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10 Wildwood Medical Ctr, Essex, CT 06426-1154
Phone Number
860-767-0145
Fax Number
860-767-0021
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
August 10, 2005
Last Update Date
July 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Wildwood Medical Ctr
Essex, CT 06426-1154
City
Essex
Zip
06426-1154
Phone Number
860-767-0145
Fax Number
860-767-0021
Essex, CT 06426Get directions →

Provider Business Mailing Address Details

Address
10 Wildwood Medical Ctr
Essex, CT 06426-1154
City
Essex
State
CT
Zip
06426-1154
Phone Number
860-767-0145
Fax Number
860-767-0021

License Information

License Number (1)
034326
License State (1)
CT
Taxonomy (1)
Internal Medicine, Geriatric Medicine · 207RG0300X
License Number (2)
034326
License State (2)
CT
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Earl R Hornbake III, MD?

The NPI number of Earl R Hornbake III, MD is 1770584906. It was assigned on August 10, 2005 and is currently active in the NPPES registry.

What is the specialty of Earl R Hornbake III, MD?

Earl R Hornbake III, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 034326.

Where does Earl R Hornbake III, MD practice?

The practice location is 10 Wildwood Medical Ctr, Essex, CT 06426-1154. The office can be reached at 860-767-0145 (phone) or 860-767-0021 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770584906 directly on the NPPES registry website.

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