1861444952 NPI number — JOSEPH E HOWE RPT

Table of content: JOSEPH E HOWE RPT (NPI 1861444952)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861444952 NPI number — JOSEPH E HOWE RPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWE
Provider First Name:
JOSEPH
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RPT
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:
1861444952
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 396
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GUNNISON
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84634-0396
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
435-283-6334
Provider Business Mailing Address Fax Number:
435-528-7000

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
59 W 700 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EPHRAIM
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84627-1524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-283-6334
Provider Business Practice Location Address Fax Number:
435-528-7000
Provider Enumeration Date:
05/17/2006

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: 225100000X , with the licence number:  111086-2401 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 59769 . This is a "PEHP" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 6400233 . This is a "UHC" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 107008846101 . This is a "IHC" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 870554446HO1 . This is a "EMIA" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 637995 . This is a "DMBA" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".




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