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NPI Code Detail

MEDICARE: MR. CHAD WILLIAM HOWELL BACHELOR DEGREE

MEDICARE: MR. CHAD WILLIAM HOWELL BACHELOR DEGREE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1912200445
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHAD WILLIAM HOWELL BACHELOR DEGREE
Provider Business Mailing Address
First Line : 4262 BLUE DIAMOND RD STE 102-284
Second Line : STE. 102-284
City : LAS VEGAS
State : NV
Zip : 89139-7789
Country : US
Telephone Number : 775-750-8939
Fax Number :
Provider Business Practice Location Address
First Line : 5138 N JULIANO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4110
Country : US
Telephone Number : 702-248-6290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2010
Last Update Date : 10/29/2014

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