Howard, Joe Wayne
Howard, Joe Wayne is an individual health care provider with primary practice located at 150 Ne Kenneth Ford Dr , Roseburg OR 97470. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Howard, Joe Wayne can be contacted via phone (541) 672-9596.Contact Information
Primary practice address
150 Ne Kenneth Ford Dr
Roseburg OR 97470
Phone: (541) 672-9596
Fax: (541) 464-3519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D11042 | Oregon |
Profile Details
| NPI number | 1801881974 |
|---|---|
| LBN Legal business name | Howard, Joe Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Sep 17th, 2019 - about 5 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 | 1801881974 | NPPES |
| Oregon | MEDICAID | 168395 |
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