Provider Demographics
NPI:1093143588
Name:JONES & MORRIS CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:JONES & MORRIS CHIROPRACTIC PLLC
Other - Org Name:MCKINNEY FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-768-5068
Mailing Address - Street 1:907 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-2920
Mailing Address - Country:US
Mailing Address - Phone:304-768-5068
Mailing Address - Fax:304-768-6251
Practice Address - Street 1:907 6TH AVE
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:WV
Practice Address - Zip Code:25177-2920
Practice Address - Country:US
Practice Address - Phone:304-768-5068
Practice Address - Fax:304-768-6251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810017569Medicaid
WV3810017569Medicaid