Provider Demographics
NPI:1245337997
Name:HOWELLS, JOSEPH MICHAEL SR (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:HOWELLS
Suffix:SR
Gender:M
Credentials:DC
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Other - Credentials:
Mailing Address - Street 1:2726 GRIFFIN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-2362
Mailing Address - Country:US
Mailing Address - Phone:360-825-5459
Mailing Address - Fax:360-825-5803
Practice Address - Street 1:2726 GRIFFIN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-2362
Practice Address - Country:US
Practice Address - Phone:360-825-5459
Practice Address - Fax:360-825-5803
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WACH00001180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA339201OtherGROUP HEALTH
WAH02981OtherREGENCE BLUE SHIELD
WA15179OtherLABOR & INDUSTRIES