Provider Demographics
NPI:1639324213
Name:HOWARD, ERNEST MITCHELL II (CO)
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:MITCHELL
Last Name:HOWARD
Suffix:II
Gender:M
Credentials:CO
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Mailing Address - Street 1:7631 OLD OAKLAND BLVD WEST DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-8955
Mailing Address - Country:US
Mailing Address - Phone:317-826-9763
Mailing Address - Fax:317-988-4835
Practice Address - Street 1:1481 W 10TH ST
Practice Address - Street 2:ATTENTION PROSTHETICS
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2803
Practice Address - Country:US
Practice Address - Phone:317-988-3230
Practice Address - Fax:317-988-4835
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
INCO2273222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist