Provider Demographics
NPI:1922026129
Name:HOWELL, DANIEL
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:HOWELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 CHARLES ST
Mailing Address - Street 2:#108
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-3526
Mailing Address - Country:US
Mailing Address - Phone:240-349-2299
Mailing Address - Fax:240-349-2442
Practice Address - Street 1:404 CHARLES ST
Practice Address - Street 2:#108
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-3526
Practice Address - Country:US
Practice Address - Phone:240-349-2299
Practice Address - Fax:240-349-2442
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0002975207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP00389186OtherMEDICARE RAILROAD
MD070061400Medicaid
MD070061400Medicaid