Provider Demographics
NPI:1952368185
Name:CLINTON, HOWARD L (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:L
Last Name:CLINTON
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 1:136 MIMOSA DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1719
Mailing Address - Country:US
Mailing Address - Phone:828-281-8131
Mailing Address - Fax:828-281-8177
Practice Address - Street 1:136 MIMOSA DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-1719
Practice Address - Country:US
Practice Address - Phone:828-281-8131
Practice Address - Fax:828-281-8177
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22098146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
C81012Medicare UPIN