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Gary Scott Howard, Student/Intern

Student in an Organized Health Care Education/Training Program in Andover, MN. Individual provider (NPI-1).

NPI number1043662414
StatusActive
Last updated in NPPESJul 8, 2016

Details

NPI
1043662414
Entity type
Individual (NPI-1)
Name
Gary Scott Howard
Credential
Student/Intern
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 8, 2016
Last updated
Jul 8, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––

Practice location

13750 Crosstown Dr Nw
Molly Professional Center ,phase II #207
Andover, MN 55304-5853

Phone 763-755-6290

Mailing address

13750 Crosstown Dr Nw
Molly Professional Center ,phase II #207
Andover, MN 55304-5853

Phone 763-755-6290

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Andover, MN

All 6 Student in an Organized Health Care Education/Training Program providers in Andover · All 496 providers in Andover

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