Provider Demographics
NPI:1821264870
Name:HOWARD, RHONDA
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 175
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:IL
Mailing Address - Zip Code:62418-9675
Mailing Address - Country:US
Mailing Address - Phone:618-427-3843
Mailing Address - Fax:
Practice Address - Street 1:RR 2 BOX 175
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:IL
Practice Address - Zip Code:62418-9675
Practice Address - Country:US
Practice Address - Phone:618-427-3843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver