Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 01068750A | IN |
Y | 207QS0010X | Family Doctor - Sports Medicine | MD60649111 | WA |
NPI | 1154584969 |
---|---|
Provider Name | Dr. Benjamin Israel Howie |
First Address | Spokane, WA 99204-4803 |
Second Address | Spokane, WA 99204-4803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2008 |
Last Update Date | 25/05/2021 |