Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 17251 | CA |
N | 111NX0100X | Occupational Health | 17251 | CA |
NPI | 1508117920 |
---|---|
Provider Name | Dr. Ralph Gregory Howell |
First Address | Clovis, CA 93611-7014 |
Second Address | Visalia, CA 93277-1633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2012 |
Last Update Date | 25/09/2012 |