Provider Demographics
NPI:1558390534
Name:HOWE, RONALD CHARLES (CRNA)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:CHARLES
Last Name:HOWE
Suffix:
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 1:2301 MT VERNON RD
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-2774
Mailing Address - Country:US
Mailing Address - Phone:580-234-2998
Mailing Address - Fax:
Practice Address - Street 1:600 S MONROE ST
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-7211
Practice Address - Country:US
Practice Address - Phone:580-233-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX443522367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109741204Medicaid
TX109741205Medicaid
TXP00677735OtherRAILROAD
TX109741206Medicaid
TX89475UOtherBCBS
TX8L13669Medicare PIN
TX109741206Medicaid
TX8L13701Medicare PIN