Provider Demographics
NPI:1053706606
Name:HOWELL, CAMERON
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:HOWELL
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 1:528 GENELDA AVE
Mailing Address - Street 2:APT 36
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-4508
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:528 GENELDA AVE
Practice Address - Street 2:APT 36
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-4508
Practice Address - Country:US
Practice Address - Phone:256-338-6681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS10763390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program