Provider Demographics
NPI:1588414718
Name:HONIG, REBEKAH JO (MS)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:JO
Last Name:HONIG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:HONIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:3820 CHILES RD UNIT 3119
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-4528
Mailing Address - Country:US
Mailing Address - Phone:312-404-2679
Mailing Address - Fax:
Practice Address - Street 1:3820 CHILES RD UNIT 3119
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-4528
Practice Address - Country:US
Practice Address - Phone:312-404-2679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty