Healthcare Provider Details

I. General information

NPI: 1518167279
Provider Name (Legal Business Name): HOWARD A. PASKETT PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2007
Last Update Date: 07/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 KENNY RD STE 3300
COLUMBUS OH
43221-3502
US

IV. Provider business mailing address

2050 KENNY RD STE 3300
COLUMBUS OH
43221-3502
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-2874
  • Fax:
Mailing address:
  • Phone: 614-293-2874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number50.001895
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: