Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 4301082987 | MI |
Y | 2086S0105X | Surgery of the Hand | 4301082987 | MI |
NPI | 1689662405 |
---|---|
Provider Name | Richard M Howell |
First Address | Holland, MI 49424-2196 |
Second Address | Holland, MI 49424-2196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2005 |
Last Update Date | 29/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4893870 | (05) | MI |
F61923 | (02) | OH |
RH082987 | BCBS LICENSE (01) | MI |