Basic Information
Provider Information
NPI: 1508129826
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWSON
FirstName: CHRISTOPHER
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 164 N BROADWAY
Address2:  
City: GREEN BAY
State: WI
PostalCode: 543032728
CountryCode: US
TelephoneNumber: 9204909046
FaxNumber: 9204055388
Practice Location
Address1: 2845 GREENBRIER RD
Address2:  
City: GREEN BAY
State: WI
PostalCode: 543116519
CountryCode: US
TelephoneNumber: 9202888377
FaxNumber: 9202888385
Other Information
ProviderEnumerationDate: 06/21/2012
LastUpdateDate: 03/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000X65124WIN Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 
208VP0014X65124WIN Allopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
207L00000X65124WIY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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