Provider Demographics
NPI:1306898333
Name:JONES CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:JONES CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MORGAN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-636-3570
Mailing Address - Street 1:15 RANDOLPH AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-4011
Mailing Address - Country:US
Mailing Address - Phone:304-636-3570
Mailing Address - Fax:304-636-6646
Practice Address - Street 1:15 RANDOLPH AVE
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-4011
Practice Address - Country:US
Practice Address - Phone:304-636-3570
Practice Address - Fax:304-636-6646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1025179OtherWV WORKERS' COMPENSATION
WV001710212OtherBLUE CROSS BLUE SHIELD
WV1025179OtherWV WORKERS' COMPENSATION