Provider Demographics
NPI:1316354137
Name:JONES, SEAN (ATC)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 IRVING SCHOTTENSTEIN DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1044
Mailing Address - Country:US
Mailing Address - Phone:614-292-7860
Mailing Address - Fax:614-292-9301
Practice Address - Street 1:535 IRVING SCHOTTENSTEIN DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1044
Practice Address - Country:US
Practice Address - Phone:614-292-7860
Practice Address - Fax:614-292-9301
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2017-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK831204C00000X
NC2140204C00000X
OHAT005080204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine