Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OEG000844 | PA |
NPI | 1043329196 |
---|---|
Provider Name | Dr. Christian J Howard |
First Address | Kane, PA 16735-1164 |
Second Address | Kane, PA 16735-1164 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 27/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T27602 | (02) | PA |