Provider Demographics
NPI:1043072879
Name:HONIG, JASON
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:HONIG
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 1:3820 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:530-276-8212
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:530-276-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No251B00000XAgenciesCase Management