Provider Demographics
NPI:1932146859
Name:JOHN HOWARD, JR., M.D.,PSC.
Entity Type:Organization
Organization Name:JOHN HOWARD, JR., M.D.,PSC.
Other - Org Name:WHITESVILLE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:270-926-1650
Mailing Address - Street 1:2200 E PARRISH AVE
Mailing Address - Street 2:STE. 202
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1449
Mailing Address - Country:US
Mailing Address - Phone:270-926-1650
Mailing Address - Fax:270-926-1671
Practice Address - Street 1:2200 E PARRISH AVE
Practice Address - Street 2:STE. 202
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1449
Practice Address - Country:US
Practice Address - Phone:270-926-1650
Practice Address - Fax:270-926-1671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY24390207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000220259OtherANTHEM GROUP
KY7026OtherMEDICARE GROUP
KY7026OtherMEDICARE GROUP