Provider Demographics
NPI:1982718870
Name:HOWE, SIMONE GERMANN (PA)
Entity Type:Individual
Prefix:
First Name:SIMONE
Middle Name:GERMANN
Last Name:HOWE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 PRINCE ST
Mailing Address - Street 2:CONNECTICUT HEART GROUP
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1600
Mailing Address - Country:US
Mailing Address - Phone:203-867-5300
Mailing Address - Fax:203-867-5320
Practice Address - Street 1:46 PRINCE ST
Practice Address - Street 2:CONNECTICUT HEART GROUP
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1600
Practice Address - Country:US
Practice Address - Phone:203-867-5300
Practice Address - Fax:203-867-5320
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000093363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3212177OtherOXFORD
CT004235182Medicaid
290000093CTOtherANTHEM
004235182/00OtherEDS/BLUE CARE
2V3375OtherHEALTH NET
P3212177OtherOXFORD
CT004235182Medicaid