Howard, Dave
Howard, Dave is an individual health care provider with primary practice located at 2753 E Broadway Rd #101-454, Mesa AZ 85204-1579. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Howard, Dave can be contacted via phone (480) 659-6964.Contact Information
Primary practice address
2753 E Broadway Rd #101-454
Mesa AZ 85204-1579
Phone: (480) 659-6964
Fax: (480) 659-6791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Perfusionist | 242T00000X |
Profile Details
| NPI number | 1649296740 |
|---|---|
| LBN Legal business name | Howard, Dave |
| Credentials | Certified Clinical Perfusionist (CCP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Aug 18th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649296740 | NPPES |
| Arizona | MEDICAID | 108789 |
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