Provider Demographics
NPI:1114942323
Name:BROWN, HOWARD JOE (DC)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:JOE
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 716
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-0716
Mailing Address - Country:US
Mailing Address - Phone:308-254-5331
Mailing Address - Fax:308-254-4988
Practice Address - Street 1:915 23RD AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-1418
Practice Address - Country:US
Practice Address - Phone:308-254-5331
Practice Address - Fax:308-254-4988
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE470701830-00Medicaid
NE470701830-00Medicaid
NE091533Medicare ID - Type Unspecified