Healthcare Provider Details
I. General information
NPI: 1659344406
Provider Name (Legal Business Name): HOWARD MARTIN STRICKLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/10/2006
Last Update Date: 02/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
505 20TH ST N SUITE 1200
BIRMINGHAM AL
35203-4610
US
IV. Provider business mailing address
505 20TH STREET NORTH STE 1200
BIRMINGHAM AL
35203-4610
US
V. Phone/Fax
- Phone: 205-326-3100
- Fax: 205-380-2502
- Phone: 205-326-3100
- Fax: 205-380-2502
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 00009294 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | MD294 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: