Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | C20007784 | DE |
N | 2080P0204X | Pediatric Emergency Doctor | C20007784 | DE |
NPI | 1346332228 |
---|---|
Provider Name | Dr. John M. Howard III |
First Address | Atlanta, GA 30384-0001 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 15/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102065633 | (05) | PA |
127035 | (05) | NJ |
4122658 | (05) | MD |
I73982 | (02) |