Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD00022042 | WA |
NPI | 1003857145 |
---|---|
Provider Name | Dr. Jeffrey Howard |
First Address | Lacey, WA 98509-5007 |
Second Address | Olympia, WA 98506-5133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 27/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
168551 | WA L &I (01) | |
268745 | (05) | OR |
8600017 | (05) | WA |
8935582 | WA CRIME VICTIMS (01) | |
A008 | CHAMPUS (01) | |
A06273 | (02) | |
A06273 | GROUP HEALTH (01) | |
HO8266 | REGENCE BS (01) |