Provider Demographics
NPI:1205893948
Name:HOWELLS, MARJORIE ANN (DC)
Entity type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:ANN
Last Name:HOWELLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3701
Mailing Address - Country:US
Mailing Address - Phone:845-331-6653
Mailing Address - Fax:845-331-3892
Practice Address - Street 1:381 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3701
Practice Address - Country:US
Practice Address - Phone:845-331-6653
Practice Address - Fax:845-331-3892
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0049381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX-004938-1Medicaid
NYX51061Medicare PIN
NYX-004938-1Medicaid