Provider Demographics
NPI:1104823954
Name:HONE, JENNIFER (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:HONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4592 CAMINO DEL MIRASOL
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-1003
Mailing Address - Country:US
Mailing Address - Phone:303-921-6740
Mailing Address - Fax:805-845-6002
Practice Address - Street 1:345 CAMINO DEL REMEDIO
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1332
Practice Address - Country:US
Practice Address - Phone:303-921-6740
Practice Address - Fax:805-845-6002
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33452207RE0101X
CAG88479207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO72707062OtherMEDICARE GROUP NUMBER
CODN2433OtherRR MEDICARE GROUP
CO01334523Medicaid
CO348308OtherMEDICARE GROUP PTAN
CO64432556OtherMEDICAID PRACTICE NUMBER
COC810776OtherMEDICARE GROUP NUMBER
CO64432556OtherMEDICAID PRACTICE NUMBER
CODN2433OtherRR MEDICARE GROUP
CO72707062OtherMEDICARE GROUP NUMBER
CO01334523Medicaid
CO01334523Medicaid