Provider Demographics
NPI:1366673444
Name:HONEA, DONALD JR VICTOR
Entity Type:Individual
Prefix:MR
First Name:DONALD JR
Middle Name:VICTOR
Last Name:HONEA
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 1:102 OLSEN ROAD
Mailing Address - Street 2:
Mailing Address - City:RUBY
Mailing Address - State:AK
Mailing Address - Zip Code:99768-0076
Mailing Address - Country:US
Mailing Address - Phone:907-468-4550
Mailing Address - Fax:907-468-4550
Practice Address - Street 1:102 OLSEN ROAD
Practice Address - Street 2:
Practice Address - City:RUBY
Practice Address - State:AK
Practice Address - Zip Code:99768-0076
Practice Address - Country:US
Practice Address - Phone:907-468-4550
Practice Address - Fax:907-468-4550
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program