1730339193 NPI number — MARY FRANCES HOWICK D.O.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730339193 NPI number — MARY FRANCES HOWICK D.O.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

HOWICK

Provider First Name:

MARY

Provider Middle Name:

FRANCES

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

D.O.

Provider Gender Code:

F

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:

1730339193

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

11/14/2016

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

P.O. BOX 211

Provider Second Line Business Mailing Address:

132 MECHANIC ST.

Provider Business Mailing Address City Name:

SPARTANSBURG

Provider Business Mailing Address State Name:

PA

Provider Business Mailing Address Postal Code:

16434-1026

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

814-654-7334

Provider Business Mailing Address Fax Number:

814-654-7553

Provider First Line Business Practice Location Address:

35255 BROWN HILL RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

UNION CITY

Provider Business Practice Location Address State Name:

PA

Provider Business Practice Location Address Postal Code:

16438-2919

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

814-694-2339

Provider Business Practice Location Address Fax Number:

814-694-2176

Provider Enumeration Date:

09/23/2008

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207Q00000X , with the licence number:  OS014432 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 0015110700007 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 25-1715366 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 25-1715366 . This is a "SELECTCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 6253529 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 25-1715366 . This is a "DEVON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 2069371 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 25-1715366 . This is a "INTERGROUP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 25-1715366 . This is a "VANTAGE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 25-1715366 . This is a "PROCURA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: P00757252 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
• Identifier: 25-1715366 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".