Provider Demographics
NPI:1265290191
Name:HOWARD, FREDERICK GENE
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:GENE
Last Name:HOWARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 LAMOILLE HWY STE 4161250
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-4396
Mailing Address - Country:US
Mailing Address - Phone:775-778-9960
Mailing Address - Fax:775-826-9008
Practice Address - Street 1:1250 LAMOILLE HWY STE 416
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-4397
Practice Address - Country:US
Practice Address - Phone:775-778-9960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant