Provider Demographics
NPI:1457820110
Name:JONES, NICHOLAS R (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
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 1:383 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-6133
Mailing Address - Country:US
Mailing Address - Phone:716-228-2165
Mailing Address - Fax:716-412-2036
Practice Address - Street 1:500 SENECA ST STE 130
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14204-1962
Practice Address - Country:US
Practice Address - Phone:716-551-0970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-24
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013178111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor