1437113230 NPI number — MRS. CONSTANCE HOWE OD

Table of content: MRS. CONSTANCE HOWE OD (NPI 1437113230)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437113230 NPI number — MRS. CONSTANCE HOWE OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWE
Provider First Name:
CONSTANCE
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PIRANIO
Provider Other First Name:
CONSTANCE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1437113230
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/11/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2539 MARVIN RD NE
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
LACEY
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98516
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-459-3333
Provider Business Mailing Address Fax Number:
360-459-2724

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2539 MARVIN RD NE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
LACEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-459-3333
Provider Business Practice Location Address Fax Number:
360-459-2724
Provider Enumeration Date:
04/17/2006

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: 152W00000X , with the licence number:  OD00003048 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2015592 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: PI4528 . This is a "BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 912174298 . This is a "BLUE CROSS" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: P00352365 . This is a "RAILROADMEDICARE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com