Provider Demographics
NPI:1518539311
Name:HOWARD, AUSTIN MATTHEW
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:MATTHEW
Last Name:HOWARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 GORMAN CT
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-1549
Mailing Address - Country:US
Mailing Address - Phone:513-267-9034
Mailing Address - Fax:
Practice Address - Street 1:140 GORMAN CT
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:OH
Practice Address - Zip Code:45050-1549
Practice Address - Country:US
Practice Address - Phone:513-267-9034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program