Provider Demographics
NPI:1326727769
Name:HOWARD, EUGENE JR
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:
Last Name:HOWARD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 AIRLINE HWY STE 221
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-8195
Mailing Address - Country:US
Mailing Address - Phone:225-421-4715
Mailing Address - Fax:
Practice Address - Street 1:9800 AIRLINE HWY STE 221
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8195
Practice Address - Country:US
Practice Address - Phone:225-421-4715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)