Provider Demographics
NPI:1497818447
Name:HOWELL, JEFFREY STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:STEVEN
Last Name:HOWELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 S KANSAS ST
Mailing Address - Street 2:PO BOX 357
Mailing Address - City:HAVEN
Mailing Address - State:KS
Mailing Address - Zip Code:67543-9261
Mailing Address - Country:US
Mailing Address - Phone:620-465-2422
Mailing Address - Fax:
Practice Address - Street 1:111 S KANSAS ST
Practice Address - Street 2:
Practice Address - City:HAVEN
Practice Address - State:KS
Practice Address - Zip Code:67543-9261
Practice Address - Country:US
Practice Address - Phone:620-465-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05140111N00000X
AZ4443225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist