Provider Demographics
NPI:1194801092
Name:HOWICK, JOHN ROBERT JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ROBERT
Last Name:HOWICK
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 15010
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37901-5010
Mailing Address - Country:US
Mailing Address - Phone:865-541-8141
Mailing Address - Fax:865-541-8706
Practice Address - Street 1:2016 CLINCH AVENUE
Practice Address - Street 2:EAST TENNESSEE CHILDREN'S HOSPITAL
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916
Practice Address - Country:US
Practice Address - Phone:865-541-8141
Practice Address - Fax:865-541-8706
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN0104922080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN010492OtherMEDICAL LICENSE