Basic Information
| Provider Information | |||||||||
| NPI: | 1609899228 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CORWIN | ||||||||
| FirstName: | HOWARD | ||||||||
| MiddleName: | LAWRENCE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 MEDICAL CENTER DR | ||||||||
| Address2: | |||||||||
| City: | LEBANON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 037561000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036504642 | ||||||||
| FaxNumber: | 6036500614 | ||||||||
| Practice Location | |||||||||
| Address1: | 4301 W MARKHAM ST # 555 | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 722057101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016868000 | ||||||||
| FaxNumber: | 5016867893 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 01/10/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | E-7068 | AR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RN0300X | E-7068 | AR | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207R00000X | 7596 | NH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | 7596 | NH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RN0300X | 7596 | NH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 1001898 | 05 | VT | MEDICAID | 30001947 | 05 | NH | MEDICAID |