Provider Demographics
NPI:1386741031
Name:HOWELLS, ANTHONY JOHN PATRICK (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOHN PATRICK
Last Name:HOWELLS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2726 GRIFFIN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-2362
Mailing Address - Country:US
Mailing Address - Phone:360-825-5459
Mailing Address - Fax:360-825-5803
Practice Address - Street 1:2726 GRIFFIN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-2362
Practice Address - Country:US
Practice Address - Phone:360-825-5459
Practice Address - Fax:360-825-5803
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA49357OtherLABOR & INDUSTRIES
WA1386741031OtherNPI
WAG8866446OtherMEDICARE PTAN
WAH08535OtherREGENCE