Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 4301036851 | MI |
NPI | 1326059031 |
---|---|
Provider Name | Dr. Richard Edward Honicky |
First Address | Lansing, MI 48912-3756 |
Second Address | Lansing, MI 48912-3756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 14/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0M21440065 | MEDICARE PLUS BLUE (01) | MI |
1038849 | MCLAREN HEALTH ADVANTAGE (01) | MI |
1038849 | MCLAREN HEALTH PLAN-COMMERCIAL (01) | MI |
1038849 | MCLAREN HEALTH PLAN-MEDICAID (01) | MI |
200000021303 | PHP (01) | MI |
200000021303 | PHP FAMILYCARE (01) | MI |
3503352731 | BLUE CROSS BLUE SHIELD OF MICHIGAN (01) | MI |
4322962 | AETNA (01) | MI |
B49484 | (02) | MI |
P00848493 | MEDICARE RAILROD (01) | MI |