Basic Information
| Provider Information | |||||||||
| NPI: | 1669856928 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOWELL | ||||||||
| FirstName: | SOPHIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2111 FOREST PARK DR | ||||||||
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| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995171371 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9078910677 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4325 LAUREL ST STE 100AND | ||||||||
| Address2: | |||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995085364 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9075695660 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2015 | ||||||||
| LastUpdateDate: | 07/16/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | AK | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.