Provider Demographics
NPI:1114103280
Name:JONES, ISAAC BENJAMIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:BENJAMIN
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 1:100 PERRY HWY
Mailing Address - Street 2:SUITE #104
Mailing Address - City:HARMONY
Mailing Address - State:PA
Mailing Address - Zip Code:16037-9200
Mailing Address - Country:US
Mailing Address - Phone:724-452-7304
Mailing Address - Fax:
Practice Address - Street 1:100 PERRY HWY
Practice Address - Street 2:SUITE #104
Practice Address - City:HARMONY
Practice Address - State:PA
Practice Address - Zip Code:16037-9200
Practice Address - Country:US
Practice Address - Phone:724-452-7304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009890111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor