Provider Demographics
NPI:1245114933
Name:HOWARD, COLLIN ERIC
Entity type:Individual
Prefix:
First Name:COLLIN
Middle Name:ERIC
Last Name:HOWARD
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 1:6 1ST ST SE # 481
Mailing Address - Street 2:
Mailing Address - City:CHISHOLM
Mailing Address - State:MN
Mailing Address - Zip Code:55719-1808
Mailing Address - Country:US
Mailing Address - Phone:800-476-3749
Mailing Address - Fax:
Practice Address - Street 1:6 1ST ST SE # 481
Practice Address - Street 2:
Practice Address - City:CHISHOLM
Practice Address - State:MN
Practice Address - Zip Code:55719-1808
Practice Address - Country:US
Practice Address - Phone:800-476-3749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider