Provider Demographics
NPI:1992731012
Name:VELOSO, JONY NUNES (SR)
Entity type:Individual
Prefix:
First Name:JONY
Middle Name:NUNES
Last Name:VELOSO
Suffix:
Gender:M
Credentials:SR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2426 FLUSHING RD.
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504
Mailing Address - Country:US
Mailing Address - Phone:810-252-9046
Mailing Address - Fax:
Practice Address - Street 1:2426 FLUSHING RD
Practice Address - Street 2:2426 FLUSHING RD.
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-4752
Practice Address - Country:US
Practice Address - Phone:810-252-9046
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI171W00000X, 177F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171W00000XOther Service ProvidersContractor
Not Answered177F00000XOther Service ProvidersLodging