1275580227 NPI number — DR. CHARLES D HOWELL M.D.

Table of content: DR. CHARLES D HOWELL M.D. (NPI 1275580227)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275580227 NPI number — DR. CHARLES D HOWELL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWELL
Provider First Name:
CHARLES
Provider Middle Name:
D
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:
1275580227
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/08/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
GEORGIA AVE NW TOWER 6101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20060-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-865-6679
Provider Business Mailing Address Fax Number:
202-865-3138

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2041 GEORGAI AVE NW TOWER 5001
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-865-6620
Provider Business Practice Location Address Fax Number:
202-865-4607
Provider Enumeration Date:
05/27/2006

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: 207RG0100X , with the licence number:  D46031 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: MD042011 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 6000524000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1275580227 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 532912-02 & 01 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 124271700 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4422880 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".




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