Provider Demographics
NPI:1033203807
Name:HOWELL, MARIAN G
Entity Type:Individual
Prefix:MRS
First Name:MARIAN
Middle Name:G
Last Name:HOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 N KIOWA ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-1930
Mailing Address - Country:US
Mailing Address - Phone:610-437-9138
Mailing Address - Fax:610-437-9138
Practice Address - Street 1:740 N KIOWA ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-1930
Practice Address - Country:US
Practice Address - Phone:610-437-9138
Practice Address - Fax:610-437-9138
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA60000062251744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01724901OtherBLUE CROSS
PA0158030001Medicare NSC