Provider Demographics
NPI:1871159384
Name:HOWARD, DARREN LEE
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:LEE
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 1:99 E CHURCH ST # 337
Mailing Address - Street 2:
Mailing Address - City:NEW VIENNA
Mailing Address - State:OH
Mailing Address - Zip Code:45159-5016
Mailing Address - Country:US
Mailing Address - Phone:937-205-7639
Mailing Address - Fax:
Practice Address - Street 1:99 E CHURCH ST # 337
Practice Address - Street 2:
Practice Address - City:NEW VIENNA
Practice Address - State:OH
Practice Address - Zip Code:45159-5016
Practice Address - Country:US
Practice Address - Phone:937-205-7639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer