Provider Demographics
NPI:1023493673
Name:HOWARD, MEGAN JO
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:JO
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 1:932 SOUTH ST.
Mailing Address - Street 2:#2
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822-2473
Mailing Address - Country:US
Mailing Address - Phone:308-872-6225
Mailing Address - Fax:308-872-2331
Practice Address - Street 1:932 SOUTH ST.
Practice Address - Street 2:SUITE 2
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822-2473
Practice Address - Country:US
Practice Address - Phone:308-872-6225
Practice Address - Fax:308-872-2331
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor