Provider Demographics
NPI:1518051697
Name:ALBIN, HOWARD L JR (CRNA)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:L
Last Name:ALBIN
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13008
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48901-3008
Mailing Address - Country:US
Mailing Address - Phone:517-364-6253
Mailing Address - Fax:517-364-6208
Practice Address - Street 1:1215 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1811
Practice Address - Country:US
Practice Address - Phone:517-364-2789
Practice Address - Fax:517-364-3943
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704239069367500000X
FLAPRN11001623367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4573666Medicaid
MI4308702210OtherBCBS INDIVIDUAL PIN
MI4308702210OtherBCBS INDIVIDUAL PIN
MIC36133069Medicare ID - Type Unspecified