Provider Demographics
NPI:1508199852
Name:DR STEVEN HOWARD PLLC CHIROPRACTOR
Entity Type:Organization
Organization Name:DR STEVEN HOWARD PLLC CHIROPRACTOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-666-0009
Mailing Address - Street 1:1550 HIGHWAY 15 S
Mailing Address - Street 2:SUITE 24
Mailing Address - City:JACKSON
Mailing Address - State:KY
Mailing Address - Zip Code:41339-7247
Mailing Address - Country:US
Mailing Address - Phone:606-666-0009
Mailing Address - Fax:606-666-0095
Practice Address - Street 1:1550 HIGHWAY 15 S
Practice Address - Street 2:SUITE 24
Practice Address - City:JACKSON
Practice Address - State:KY
Practice Address - Zip Code:41339-7247
Practice Address - Country:US
Practice Address - Phone:606-666-0009
Practice Address - Fax:606-666-0095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85000305Medicaid