Provider Demographics
NPI:1649231549
Name:HOWARD, JOHN IV (LAC, DIPL AC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:HOWARD
Suffix:IV
Gender:M
Credentials:LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11223 MINSTREL TUNE DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-6306
Mailing Address - Country:US
Mailing Address - Phone:301-515-7272
Mailing Address - Fax:
Practice Address - Street 1:11223 MINSTREL TUNE DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-6306
Practice Address - Country:US
Practice Address - Phone:301-515-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU1377171100000X
1710I1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Not Answered1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians