Provider Demographics
NPI:1093991325
Name:JONES, SHERIDAN LEVI (DC)
Entity Type:Individual
Prefix:DR
First Name:SHERIDAN
Middle Name:LEVI
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 1:827 N LAST CHANCE GULCH
Mailing Address - Street 2:SUITE B
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3318
Mailing Address - Country:US
Mailing Address - Phone:406-449-4445
Mailing Address - Fax:406-495-0259
Practice Address - Street 1:827 N LAST CHANCE GULCH
Practice Address - Street 2:SUITE B
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3318
Practice Address - Country:US
Practice Address - Phone:406-449-4445
Practice Address - Fax:406-495-0259
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1176111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor