Provider Demographics
NPI:1598552887
Name:JONES, JOSEPH DAVID
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DAVID
Last Name:JONES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 JORDAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:KENNERDELL
Mailing Address - State:PA
Mailing Address - Zip Code:16374-5011
Mailing Address - Country:US
Mailing Address - Phone:814-758-6145
Mailing Address - Fax:814-758-6145
Practice Address - Street 1:100 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2130
Practice Address - Country:US
Practice Address - Phone:814-676-7790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant