Provider Demographics
NPI:1598750382
Name:JENNIFER HONE MD
Entity Type:Organization
Organization Name:JENNIFER HONE MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-425-6070
Mailing Address - Street 1:3655 LUTHERAN PKWY
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6012
Mailing Address - Country:US
Mailing Address - Phone:303-425-6707
Mailing Address - Fax:303-425-9565
Practice Address - Street 1:3655 LUTHERAN PKWY
Practice Address - Street 2:SUITE 407
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6018
Practice Address - Country:US
Practice Address - Phone:303-425-6707
Practice Address - Fax:303-425-9565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33452174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01334523Medicaid
CO309718Medicare ID - Type Unspecified
CO01334523Medicaid