MEDICARE: HOWARD S PAUL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	36077	WI
2	2084P0804X	Child & Adolescent Psychiatry Physician	36077-20	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265429401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD S PAUL M.D.

Provider Business Mailing Address
First Line	:	1969 W HART ROAD
Second Line	:	BELOIT HEALTH SYSTEM COUNSELING CARE CENTER
City	:	BELOIT
State	:	WI
Zip	:	53511-2230
Country	:	US
Telephone Number	:	608-364-5684
Fax Number	:	608-363-5756

Provider Business Practice Location Address
First Line	:	1969 W HART ROAD
Second Line	:	BELOIT HEALTH SYSTEM COUNSELING CARE CENTER
City	:	BELOIT
State	:	WI
Zip	:	53511-2230
Country	:	US
Telephone Number	:	608-364-5684
Fax Number	:	608-363-5756

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	11/03/2023

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Directions to “ HOWARD S PAUL M.D.” Practice Location

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