Provider Demographics
NPI:1417140211
Name:HOWSON, JULIE (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:HOWSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9817 SUZANNE CT STE A
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6976
Mailing Address - Country:US
Mailing Address - Phone:704-412-4124
Mailing Address - Fax:
Practice Address - Street 1:9817 SUZANNE CT STE A
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-6976
Practice Address - Country:US
Practice Address - Phone:704-412-4124
Practice Address - Fax:704-246-9817
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00119207P00000X, 207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00717354Medicare PIN
NCNC4640AMedicare PIN
NCNC4640CMedicare PIN
NC2073231Medicare PIN