1063548105 NPI number — DR. JOHN A HOWELL M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063548105 NPI number — DR. JOHN A HOWELL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWELL
Provider First Name:
JOHN
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1063548105
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/26/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
38 FAIRWAY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITEFIELD
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03598
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-837-9466
Provider Business Mailing Address Fax Number:
603-837-2190

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
38 FAIRWAY LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITEFIELD
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03598
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-788-4911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/25/2007

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: 2085R0202X , with the licence number:  6899 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208D00000X , with the licence number: 6899 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 30010723 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: ORE0702 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




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