1982718870 NPI number — SIMONE GERMANN HOWE P.A.

Table of content: SIMONE GERMANN HOWE P.A. (NPI 1982718870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982718870 NPI number — SIMONE GERMANN HOWE P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWE
Provider First Name:
SIMONE
Provider Middle Name:
GERMANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982718870
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/06/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
46 PRINCE ST
Provider Second Line Business Mailing Address:
CONNECTICUT HEART GROUP
Provider Business Mailing Address City Name:
NEW HAVEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06519-1600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-867-5300
Provider Business Mailing Address Fax Number:
203-867-5320

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
46 PRINCE ST
Provider Second Line Business Practice Location Address:
CONNECTICUT HEART GROUP
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06519-1600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-867-5300
Provider Business Practice Location Address Fax Number:
203-867-5320
Provider Enumeration Date:
08/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  000093 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P3212177 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 004235182 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 290000093CT . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 004235182/00 . This is a "EDS/BLUE CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2V3375 . This is a "HEALTH NET" identifier . This identifiers is of the category "OTHER".




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