Howell, Jacqueline C

Howell, Jacqueline C is an individual health care provider with primary practice located at 2500 W Silver Spring Dr , Glendale WI 53209-4218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Howell, Jacqueline C can be contacted via phone (414) 393-1925.

Contact Information

Primary practice address
2500 W Silver Spring Dr Glendale WI 53209-4218
Fax: (414) 393-1926
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13696 Wisconsin

Profile Details

NPI number 1750376091
LBN Legal business name Howell, Jacqueline C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750376091 NPPES
Wisconsin MEDICAID 30969400

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