Provider Demographics
NPI:1235565052
Name:JONES, SETH HOWARD (DIPL AC)
Entity Type:Individual
Prefix:MR
First Name:SETH
Middle Name:HOWARD
Last Name:JONES
Suffix:
Gender:M
Credentials:DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 W CENTRE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-5344
Mailing Address - Country:US
Mailing Address - Phone:269-488-2151
Mailing Address - Fax:
Practice Address - Street 1:1611 W CENTRE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-5344
Practice Address - Country:US
Practice Address - Phone:269-488-2151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist