Basic Information
Provider Information
NPI: 1154354454
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWSON
FirstName: CHRISTOPHER
MiddleName: JAMES
NamePrefix: DR.
NameSuffix:  
Credential: DC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2401 DEMERS AVE
Address2:  
City: GRAND FORKS
State: ND
PostalCode: 58201
CountryCode: US
TelephoneNumber: 7017801891
FaxNumber: 7017380055
Practice Location
Address1: 4401 S 11TH STREET; STE 1000 - SANNY & JERRY RYAN CENTE
Address2:  
City: GRAND FORKS
State: ND
PostalCode: 58201
CountryCode: US
TelephoneNumber: 7017327620
FaxNumber: 7017380055
Other Information
ProviderEnumerationDate: 07/09/2006
LastUpdateDate: 12/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000X769NDY Chiropractic ProvidersChiropractor 

No ID Information.


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