MEDICARE: ALLEN HONIG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD25337	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00288089	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	89025761	OTHER	AL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4119503	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1184663676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN HONIG MD

Provider Business Mailing Address
First Line	:	PO BOX 636019
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1265 E COLLEGE ST
Second Line	:
City	:	PULASKI
State	:	TN
Zip	:	38478-4541
Country	:	US
Telephone Number	:	931-363-7531
Fax Number	:	865-291-3228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	11/07/2007

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Directions to “ ALLEN HONIG MD” Practice Location

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