MEDICARE: JOHNNY STEPHEN HOWELL DO

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	208100000X	Physical Medicine & Rehabilitation Physician	DO855	AL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295794006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHNNY STEPHEN HOWELL DO

Provider Business Mailing Address
First Line	:	1751 VETERANS DR STE 300
Second Line	:
City	:	FLORENCE
State	:	AL
Zip	:	35630-4930
Country	:	US
Telephone Number	:	256-718-3200
Fax Number	:	256-246-3297

Provider Business Practice Location Address
First Line	:	1751 VETERANS DR STE 300
Second Line	:
City	:	FLORENCE
State	:	AL
Zip	:	35630-4930
Country	:	US
Telephone Number	:	256-718-3200
Fax Number	:	256-246-3297

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

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	09/01/2021

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