Provider Demographics
NPI:1588737787
Name:JONES, STEVEN WILLIAM (DC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:WILLIAM
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:PO BOX 1414
Mailing Address - Street 2:
Mailing Address - City:ORTING
Mailing Address - State:WA
Mailing Address - Zip Code:98360
Mailing Address - Country:US
Mailing Address - Phone:360-893-5300
Mailing Address - Fax:360-893-5314
Practice Address - Street 1:215 WHITESELL ST E
Practice Address - Street 2:C-102
Practice Address - City:ORTING
Practice Address - State:WA
Practice Address - Zip Code:98360
Practice Address - Country:US
Practice Address - Phone:360-893-5300
Practice Address - Fax:360-893-5314
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA025202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5545J0OtherREGENCE
160219OtherL & I
WAAB27957Medicare ID - Type Unspecified