Provider Demographics
NPI:1013057207
Name:HOWARD, BRITTEN CLENDON (DC)
Entity Type:Individual
Prefix:DR
First Name:BRITTEN
Middle Name:CLENDON
Last Name:HOWARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4831 GEARY BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118
Mailing Address - Country:US
Mailing Address - Phone:415-442-4680
Mailing Address - Fax:415-422-0825
Practice Address - Street 1:4831 GEARY BOULEVARD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118
Practice Address - Country:US
Practice Address - Phone:415-442-4680
Practice Address - Fax:415-422-0825
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26408111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1016944OtherAMERICAN SPEC HEALTH PLAN
DC0264080OtherBLUE SHIELD
CADC0264080Medicaid
CADC0264080Medicaid
DC0264080OtherBLUE SHIELD