Doctor Name: | SOPHIA DENISE HOWARD |
NPI Number: | 1972949758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | E1690783 |
Business Practice Address: | 301 Andrews Ave Lyster Army Health Clinic Fort Rucker, AL - 363625333 |
Business Phone Number: | 3342550454 |
Business Fax Number: | |
Mailing Address: | 8350 3rd Ave Unit 165, FORT RUCKER |
State: | AL |
Postal Code: | 363622036 |
Phone Number: | 2542894053 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2013 |
NPI Last Update Date: | 05/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | E1690783 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Basic |
Taxonomy Specialization: | |
Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |