Provider Demographics
NPI:1740323229
Name:HOWLAND, SHAWN ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:ANTHONY
Last Name:HOWLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:758 EDDY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4940
Mailing Address - Country:US
Mailing Address - Phone:401-236-7258
Mailing Address - Fax:774-465-0469
Practice Address - Street 1:758 EDDY ST STE 300
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4940
Practice Address - Country:US
Practice Address - Phone:401-236-7258
Practice Address - Fax:774-465-0469
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD112832083A0300X, 207P00000X
MA213779207P00000X
FLME129677207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine