Provider Demographics
NPI:1285271452
Name:ROLLINGS, HOWARD
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:ROLLINGS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14585 WYANDOTT DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-2831
Mailing Address - Country:US
Mailing Address - Phone:719-495-7330
Mailing Address - Fax:
Practice Address - Street 1:14585 WYANDOTT DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80908-2831
Practice Address - Country:US
Practice Address - Phone:719-495-7330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider