Provider Demographics
NPI:1386409175
Name:HORTON, JAMES CALEB III (RD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CALEB
Last Name:HORTON
Suffix:III
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3164 W 138TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-1536
Mailing Address - Country:US
Mailing Address - Phone:216-645-0676
Mailing Address - Fax:
Practice Address - Street 1:3164 W 138TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-1536
Practice Address - Country:US
Practice Address - Phone:216-645-0676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.8142133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered