Healthcare Provider Details

I. General information

NPI: 1306830245
Provider Name (Legal Business Name): BENJAMIN J HOWARD DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 TAYLOR MILL RD
INDEPENDENCE KY
41051-9293
US

IV. Provider business mailing address

6565 TAYLOR MILL RD
INDEPENDENCE KY
41051-9293
US

V. Phone/Fax

Practice location:
  • Phone: 859-356-8100
  • Fax: 856-356-4897
Mailing address:
  • Phone: 859-356-8100
  • Fax: 856-356-4897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3678R
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: