NPI 1033622709

Sean Robert Horner, PAC

Practitioner Physician Assistant South Bend, IN

Practice location

Address: 2102 E Inwood Rd, South Bend, IN 46614-2443
Phone: (574) 299-2411
Fax: (574) 299-2410
Mailing address: 51268 Gilroy CT, Granger, IN 46530-4728

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10002373A (IN)

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Registry record

NPI: 1033622709
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2017
Record last updated: 11 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.