Healthcare Provider Details

I. General information

NPI: 1295645224
Provider Name (Legal Business Name): MR. AIDEN JOHN HOWERTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 SOUTH NEW STREET
WEST CHESTER PA
19383-0001
US

IV. Provider business mailing address

5 N MEADOW CT
LEWISBURG PA
17837-8130
US

V. Phone/Fax

Practice location:
  • Phone: 610-436-1000
  • Fax:
Mailing address:
  • Phone: 717-819-7035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: