Provider Demographics
NPI:1871736199
Name:HOWELL, JOHN C III (RD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:HOWELL
Suffix:III
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10401 W THUNDERBIRD BLVD
Mailing Address - Street 2:CULINARY SERVICES
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3004
Mailing Address - Country:US
Mailing Address - Phone:623-876-4947
Mailing Address - Fax:623-876-6687
Practice Address - Street 1:10401 W THUNDERBIRD BLVD
Practice Address - Street 2:CULINARY SERVICES
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3004
Practice Address - Country:US
Practice Address - Phone:623-876-4947
Practice Address - Fax:623-876-6687
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered