Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | MD00011620 | WA |
NPI | 1063486074 |
---|---|
Provider Name | Dr. Warren Billings Howe |
First Address | Bellingham, WA 98226-7833 |
Second Address | Bellingham, WA 98225-5946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1719004 | (05) | WA |
A09048 | (02) | WA |