Provider Demographics
NPI:1336766773
Name:HOWLAND, WILSON EDWARD
Entity Type:Individual
Prefix:
First Name:WILSON
Middle Name:EDWARD
Last Name:HOWLAND
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 1:18800 RED DOG RD
Mailing Address - Street 2:
Mailing Address - City:GLOUSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45732-9207
Mailing Address - Country:US
Mailing Address - Phone:740-856-8886
Mailing Address - Fax:
Practice Address - Street 1:18800 RED DOG RD
Practice Address - Street 2:
Practice Address - City:GLOUSTER
Practice Address - State:OH
Practice Address - Zip Code:45732-9207
Practice Address - Country:US
Practice Address - Phone:740-856-8886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide