Provider Demographics
NPI:1518715788
Name:HONEYCOMB HEALTH LLC
Entity type:Organization
Organization Name:HONEYCOMB HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALBIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-508-0662
Mailing Address - Street 1:14510 S KIDWELL CT
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65010-9778
Mailing Address - Country:US
Mailing Address - Phone:573-508-0662
Mailing Address - Fax:573-415-8082
Practice Address - Street 1:14510 S KIDWELL CT
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MO
Practice Address - Zip Code:65010-9778
Practice Address - Country:US
Practice Address - Phone:573-508-0662
Practice Address - Fax:573-415-8082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty