Healthcare Provider Details

I. General information

NPI: 1609604719
Provider Name (Legal Business Name): VICKI HOWAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N BROADWAY STE 202
DENVER CO
80203-2121
US

IV. Provider business mailing address

4860 CHAMBERS RD # 92
DENVER CO
80239-5152
US

V. Phone/Fax

Practice location:
  • Phone: 303-507-8301
  • Fax:
Mailing address:
  • Phone: 303-725-8833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: