Provider Demographics
NPI:1225106065
Name:HOWARD, STEPHEN H (LIC AC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:H
Last Name:HOWARD
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GATEWAY HEALTH ASSOCIATES
Mailing Address - Street 2:150 HARVARD ROAD
Mailing Address - City:STOW
Mailing Address - State:MA
Mailing Address - Zip Code:01775
Mailing Address - Country:US
Mailing Address - Phone:978-897-9598
Mailing Address - Fax:
Practice Address - Street 1:GATEWAY HEALTH ASSOCIATES
Practice Address - Street 2:150 HARVARD ROAD
Practice Address - City:STOW
Practice Address - State:MA
Practice Address - Zip Code:01775
Practice Address - Country:US
Practice Address - Phone:978-897-9598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA125171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist