Provider Demographics
NPI:1407912421
Name:JONES, JOHN PAUL (D C)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PAUL
Last Name:JONES
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 RAPID RUN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4244
Mailing Address - Country:US
Mailing Address - Phone:513-451-1115
Mailing Address - Fax:513-451-0934
Practice Address - Street 1:5330 RAPID RUN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-4244
Practice Address - Country:US
Practice Address - Phone:513-451-1115
Practice Address - Fax:513-451-0934
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH715DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
46973Medicare UPIN
JO453432Medicare ID - Type Unspecified