Healthcare Provider Details
I. General information
NPI: 1831356955
Provider Name (Legal Business Name): HOWARD UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2139 GEORGIA AVE NW
WASHINGTON DC
20001-3035
US
IV. Provider business mailing address
2024 GEORGIA AVE NW
WASHINGTON DC
20001-3027
US
V. Phone/Fax
- Phone: 202-595-3223
- Fax: 202-332-2985
- Phone: 202-595-3223
- Fax: 202-332-2985
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SIDNEY
EVANS
JR.
Title or Position: SR. VP CFO AND TREASURER
Credential:
Phone: 202-595-3200