Healthcare Provider Details

I. General information

NPI: 1003356429
Provider Name (Legal Business Name): HOWARD CAPITAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2017
Last Update Date: 03/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 HORSESHOE DR
PLAINVILLE MA
02762-1611
US

IV. Provider business mailing address

26 HORSESHOE DR
PLAINVILLE MA
02762-1611
US

V. Phone/Fax

Practice location:
  • Phone: 508-292-6761
  • Fax: 702-543-4843
Mailing address:
  • Phone: 508-292-6761
  • Fax: 702-543-4843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BRENDA C HOWARD
Title or Position: PRESIDENT
Credential:
Phone: 508-292-6761