Provider Demographics
NPI:1134315443
Name:HOWELL, JAMES W (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:HOWELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:21 W MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:DEFUNIAK SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32435-2529
Mailing Address - Country:US
Mailing Address - Phone:850-892-2888
Mailing Address - Fax:850-892-2405
Practice Address - Street 1:21 W MAIN AVE
Practice Address - Street 2:
Practice Address - City:DEFUNIAK SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32435-2529
Practice Address - Country:US
Practice Address - Phone:850-892-2888
Practice Address - Fax:850-892-2405
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS0007047207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108941Medicare Oscar/Certification
FL57270WMedicare PIN
FLG21361Medicare UPIN