Provider Demographics
NPI:1164746285
Name:CRAIG L HOWELL MD LLC
Entity Type:Organization
Organization Name:CRAIG L HOWELL MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-737-1492
Mailing Address - Street 1:6810 W KENNEWICK AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336
Mailing Address - Country:US
Mailing Address - Phone:509-737-1492
Mailing Address - Fax:509-737-1494
Practice Address - Street 1:780 SWIFT BLVD
Practice Address - Street 2:SUITE 340
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-737-1492
Practice Address - Fax:509-737-1494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty