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NPI Code Detail

MEDICARE: CECILIA HOWELL-CANADA M.D.

MEDICARE: CECILIA HOWELL-CANADA 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
1208000000XPediatrics Physician036-136835IL
2208000000XPediatrics Physician5749AK
3208000000XPediatrics Physician34133WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548269384
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA HOWELL-CANADA M.D.
Provider Business Mailing Address
First Line : 1200 N EAST ST
Second Line :
City : OLNEY
State : IL
Zip : 62450-2432
Country : US
Telephone Number : 618-395-5222
Fax Number : 618-395-8552
Provider Business Practice Location Address
First Line : 1200 N EAST ST
Second Line :
City : OLNEY
State : IL
Zip : 62450-2432
Country : US
Telephone Number : 618-395-5222
Fax Number : 618-395-8552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 03/22/2024

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