Provider Demographics
NPI:1609604719
Name:HOWAD, VICKI
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:HOWAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4860 CHAMBERS RD # 92
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-5152
Mailing Address - Country:US
Mailing Address - Phone:303-725-8833
Mailing Address - Fax:
Practice Address - Street 1:1111 N BROADWAY STE 202
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2121
Practice Address - Country:US
Practice Address - Phone:303-507-8301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist