Provider Demographics
NPI:1154567881
Name:HONEY, LINDA RAE (MIDWIFE)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:RAE
Last Name:HONEY
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15282 CARLISLE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-1337
Mailing Address - Country:US
Mailing Address - Phone:313-469-0566
Mailing Address - Fax:313-299-0956
Practice Address - Street 1:15282 CARLISLE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-1337
Practice Address - Country:US
Practice Address - Phone:313-469-0566
Practice Address - Fax:313-299-0956
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIN/A176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife