Provider Demographics
NPI:1417136888
Name:JONES CHIROPRACTIC AND MAXIMUM HEALTH, LLC
Entity Type:Organization
Organization Name:JONES CHIROPRACTIC AND MAXIMUM HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-867-4323
Mailing Address - Street 1:16409 SOUTHPARK DR
Mailing Address - Street 2:STE D
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-8470
Mailing Address - Country:US
Mailing Address - Phone:317-867-4323
Mailing Address - Fax:317-867-5657
Practice Address - Street 1:16409 SOUTHPARK DR
Practice Address - Street 2:STE D
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-8470
Practice Address - Country:US
Practice Address - Phone:317-867-4323
Practice Address - Fax:317-867-5657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002264A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN235320AMedicare PIN