Provider Demographics
NPI:1629512439
Name:HOWARD CHIROPRACTIC ASSOCIATES INC.
Entity Type:Organization
Organization Name:HOWARD CHIROPRACTIC ASSOCIATES INC.
Other - Org Name:NORTH COUNTRY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-991-5682
Mailing Address - Street 1:222 SUMMER ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-2365
Mailing Address - Country:US
Mailing Address - Phone:802-748-3166
Mailing Address - Fax:
Practice Address - Street 1:222 SUMMER ST STE 101
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-2365
Practice Address - Country:US
Practice Address - Phone:802-748-3166
Practice Address - Fax:802-748-3435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006.0102489111N00000X
VT006.0000678111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1024370Medicaid