Provider Demographics
NPI:1386728111
Name:HORNING, JEFFREY (DC)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:HORNING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 GAITHER DR STE D
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-1711
Mailing Address - Country:US
Mailing Address - Phone:856-778-8688
Mailing Address - Fax:856-778-4909
Practice Address - Street 1:137 GAITHER DR STE D
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-1711
Practice Address - Country:US
Practice Address - Phone:856-778-8688
Practice Address - Fax:856-778-4909
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00185300111N00000X
FLCH002989111N00000X
NJMC01853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0142075000OtherAMERIHEALTH
NJ222451103OtherMAJOR MED. CARRIERS
NJ0935887OtherAETNA
NJ000454556OtherBLUE SHIELD
NJ0104985000OtherAMERIHEALTH
NJ000135183OtherBLUE SHIELD
NJA35183OtherAMERIHEALTH ADMINISTRATOR
NJ000454556OtherBLUE SHIELD
NJ0104985000OtherAMERIHEALTH