Charles A Howard, D.C.
Individual provider Active NPI Chiropractor · Ephraim, UT
NPI 1174523906 · NPPES record last updated Aug 27, 2007
Key facts
- NPI
- 1174523906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5566231-1202 (UT)
- Practice address
- 435 S Main St
Ephraim, UT 84627-1317 - Phone
- (435) 283-4069
- Fax
- (435) 283-0372
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
435 S Main St
Ephraim, UT 84627-1317
Phone (435) 283-4069
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040503000551 | UT | Practitioner - Chiropractic | 2860480530 |
Reassigns benefits to 1 organization Practice locations: Ephraim, UT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3335 | OR | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephraim Chiropractic and Wellness Center PLLC | Chiropractor | Current |
Accepting new patients |
Locations
435 S Main St
Ephraim, UT 84627
Phone (435) 283-4069
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5566231-1202 | UT | Yes |
Addresses
Primary practice location
435 S Main St
Ephraim, UT 84627-1317
Mailing address
435 S Main St
Ephraim, UT 84627-1317
Phone (435) 283-4069
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55662311277001 | Other | UT | BLUE CROSS BLUE SHIELD |
| 77124 | Other | UT | PEHP |
| 214909 | Other | UT | ALTIUS |
Other providers in Ephraim, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.