Provider Demographics
NPI:1043602923
Name:LINDA C HONET, MD DERMATOLOGY PC
Entity Type:Organization
Organization Name:LINDA C HONET, MD DERMATOLOGY PC
Other - Org Name:HONET DERMATOLOGY / HONET COSMETIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HONET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-792-7600
Mailing Address - Street 1:36800 WOODWARD AVENUE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-0916
Mailing Address - Country:US
Mailing Address - Phone:248-792-7600
Mailing Address - Fax:
Practice Address - Street 1:36800 WOODWARD AVENUE
Practice Address - Street 2:SUITE 110
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-0916
Practice Address - Country:US
Practice Address - Phone:248-792-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty