MEDICARE: DR. MICHAEL WILLIAM HOWARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	22456	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912062845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL WILLIAM HOWARD MD

Provider Business Mailing Address
First Line	:	PO BOX 2469
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40201-2469
Country	:	US
Telephone Number	:	502-852-8500
Fax Number	:	502-852-8556

Provider Business Practice Location Address
First Line	:	230 E BROADWAY
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-2008
Country	:	US
Telephone Number	:	502-629-8901
Fax Number	:	502-629-7065

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	10/05/2012

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