Provider Demographics
NPI:1235294984
Name:MILLER, HOWARD JONATHAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:JONATHAN
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4825 PAINT HORSE TRL
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-6061
Mailing Address - Country:US
Mailing Address - Phone:805-804-5463
Mailing Address - Fax:805-830-5163
Practice Address - Street 1:4825 PAINT HORSE TRL
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-6061
Practice Address - Country:US
Practice Address - Phone:805-804-5463
Practice Address - Fax:805-830-5163
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43723208100000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Not Answered2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF49931Medicare UPIN