Provider Demographics
NPI:1982418919
Name:HORN, DEON L JR
Entity type:Individual
Prefix:
First Name:DEON
Middle Name:L
Last Name:HORN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 BURKHARDT AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-1543
Mailing Address - Country:US
Mailing Address - Phone:330-208-7297
Mailing Address - Fax:
Practice Address - Street 1:1020 BURKHARDT AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-1543
Practice Address - Country:US
Practice Address - Phone:330-208-7297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)