Honaker, Selena

Honaker, Selena is an individual health care provider with primary practice located at 380 Suwannee Trail St , Bowling Green KY 42103-7956. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Honaker, Selena can be contacted via phone (270) 901-5000.

Contact Information

Primary practice address
380 Suwannee Trail St Bowling Green KY 42103-7956
Phone: (270) 901-5000
Fax: (270) 842-5268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1578934907
LBN Legal business name Honaker, Selena
Credentials Bachelor of Health Science (BHS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2015
Last updated Jan 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578934907 NPPES
Kentucky MEDICAID 30604011

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