Basic Information
Provider Information
NPI: 1053388066
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWE
FirstName: STEVEN
MiddleName: WESLEY
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 449
Address2:  
City: MARIETTA
State: OH
PostalCode: 457500449
CountryCode: US
TelephoneNumber: 7403744500
FaxNumber: 7403745887
Practice Location
Address1: 300 E. EIGHTH ST.
Address2: SUITE 121
City: MARIETTA
State: OH
PostalCode: 457501644
CountryCode: US
TelephoneNumber: 7403747464
FaxNumber: 7403731562
Other Information
ProviderEnumerationDate: 03/08/2006
LastUpdateDate: 07/31/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/31/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X34-00-3743OHY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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