Provider Demographics
NPI:1639145618
Name:HOWLETT, ANDREW T (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:T
Last Name:HOWLETT
Suffix:
Gender:M
Credentials:MD
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 421
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-0421
Mailing Address - Country:US
Mailing Address - Phone:866-747-2455
Mailing Address - Fax:
Practice Address - Street 1:820 S MCCLELLAN
Practice Address - Street 2:STE 300
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2450
Practice Address - Country:US
Practice Address - Phone:509-838-7100
Practice Address - Fax:509-838-0721
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00042212207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID806611900Medicaid
WA62006OtherDEPT OF LABOR & INDUSTRIE
WA9052HOOtherASURIS NW HEALTH
WA2141627OtherFIRST HEALTH
WA7101207Medicaid
ID000010150016OtherREGENCE BLUE SHIELD
MT0140010Medicaid
WAP00259715OtherRR MEDICARE
WA8904799OtherCRIME VICTIMS
IDKAJ47OtherHMO BLUE
WAAB37088Medicare ID - Type Unspecified
ID000010150016OtherREGENCE BLUE SHIELD
G319213900Medicare PIN