Healthcare Provider Details

I. General information

NPI: 1821264870
Provider Name (Legal Business Name): RHONDA HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RR 2 BOX 175
BROWNSTOWN IL
62418-9675
US

IV. Provider business mailing address

RR 2 BOX 175
BROWNSTOWN IL
62418-9675
US

V. Phone/Fax

Practice location:
  • Phone: 618-427-3843
  • Fax:
Mailing address:
  • Phone: 618-427-3843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: