Provider Demographics
NPI:1912200445
Name:HOWELL, CHAD WILLIAM (BACHELOR DEGREE)
Entity Type:Individual
Prefix:MR
First Name:CHAD
Middle Name:WILLIAM
Last Name:HOWELL
Suffix:
Gender:M
Credentials:BACHELOR DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4262 BLUE DIAMOND RD STE 102-284
Mailing Address - Street 2:STE. 102-284
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-7789
Mailing Address - Country:US
Mailing Address - Phone:775-750-8939
Mailing Address - Fax:
Practice Address - Street 1:5138 N JULIANO RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4110
Practice Address - Country:US
Practice Address - Phone:702-248-6290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-05
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No171M00000XOther Service ProvidersCase Manager/Care Coordinator