Provider Demographics
NPI:1467469775
Name:HOWARD, CHRIS L (DO)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:L
Last Name:HOWARD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 S JEFFERSON ST STE 1006
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:540-224-5352
Mailing Address - Fax:
Practice Address - Street 1:434 PEPPERS FRY RD NW
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-5780
Practice Address - Country:US
Practice Address - Phone:540-382-6000
Practice Address - Fax:540-381-9540
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202124207Q00000X
WV2070207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001881400OtherBC/BS
WV452871OtherCARELINK
VA1467469775OtherMEDICAID OF VA
VA1467469775Medicaid
WV239539OtherANTHEM BC/BS-PETERSTOWN
WV5611053OtherAETNA
WV239538OtherANTHEM BC/BS-UNION
WV3810006348Medicaid
VA1467469775OtherMEDICAID OF VA
WV452871OtherCARELINK
VA018287F63Medicare PIN
WVHO2026202Medicare PIN
WV511837Medicare Oscar/Certification
WVHO2026201Medicare PIN