Provider Demographics
NPI:1831277359
Name:HOWELLS CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:HOWELLS CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOHN PATRICK
Authorized Official - Last Name:HOWELLS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-825-5459
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty