Caroline M Howard, ATC

Individual provider Active NPI Athletic Trainer · Newark, DE

NPI 1164923942 · NPPES record last updated Feb 27, 2018

Key facts

NPI
1164923942
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
J3-0000633 (DE)
Practice address
631 S College Ave
Newark, DE 19716-2010
Phone
(336) 455-3732
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
J3-0000633DEMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X J3-0000633 DE Yes

Addresses

Primary practice location

631 S College Ave
Newark, DE 19716-2010

Mailing address

200 Pettinaro Dr Apt G6
Elkton, MD 21921-1562
Phone (336) 455-3732

Other providers in Newark, DE

All providers in Newark, DE · Athletic Trainer in Delaware

Sources for this page

Verify at the official NPI Registry.