Provider Demographics
NPI:1154410686
Name:SLEMONS, HOWARD GEORGE (DO)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:GEORGE
Last Name:SLEMONS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 HALL AVE
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-2070
Mailing Address - Country:US
Mailing Address - Phone:330-534-1978
Mailing Address - Fax:330-534-0044
Practice Address - Street 1:55 HALL AVE
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-2070
Practice Address - Country:US
Practice Address - Phone:330-534-1978
Practice Address - Fax:330-534-0044
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004619207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0778823Medicaid
OHE47860Medicare UPIN
OH0778823Medicaid