Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | VT |
NPI | 1336248186 |
---|---|
Provider Name | James Howe |
First Address | Shelburne, VT 05482-6955 |
Second Address | Burlington, VT 05401-3456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00665536 | (05) | NY |
D03260 | (02) |