Provider Demographics
NPI:1588663173
Name:STRAUB, HOWARD NICHOLAS (DO)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:NICHOLAS
Last Name:STRAUB
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3915 TALBOT RD S
Mailing Address - Street 2:STE 310
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5738
Mailing Address - Country:US
Mailing Address - Phone:425-656-5345
Mailing Address - Fax:425-656-5349
Practice Address - Street 1:3915 TALBOT RD S
Practice Address - Street 2:STE 310
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5738
Practice Address - Country:US
Practice Address - Phone:425-656-5345
Practice Address - Fax:425-656-5349
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAOP00001843207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D24076Medicare UPIN