Provider Demographics
NPI:1275324683
Name:HOWARD, CHANELL LATRECE (EMT, PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:CHANELL
Middle Name:LATRECE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:EMT, PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6782 GRANGE CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-5641
Mailing Address - Country:US
Mailing Address - Phone:513-225-8440
Mailing Address - Fax:513-225-8440
Practice Address - Street 1:6782 GRANGE CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-5641
Practice Address - Country:US
Practice Address - Phone:513-225-8440
Practice Address - Fax:513-225-8440
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCH169856146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic