Provider Demographics
NPI:1386978179
Name:JONES, JOSHUA R (DC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:R
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 LONDON DR
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72715-8904
Mailing Address - Country:US
Mailing Address - Phone:479-877-6948
Mailing Address - Fax:123-456-7890
Practice Address - Street 1:100 SW 14TH ST
Practice Address - Street 2:STE. 6
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-6713
Practice Address - Country:US
Practice Address - Phone:479-877-6948
Practice Address - Fax:123-456-7890
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR15642111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor