Provider Demographics
NPI:1437256724
Name:JONES, JEFFREY DRAKE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DRAKE
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 1:12330 W 58TH AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1243
Mailing Address - Country:US
Mailing Address - Phone:303-420-4270
Mailing Address - Fax:303-420-3490
Practice Address - Street 1:12330 W 58TH AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1200
Practice Address - Country:US
Practice Address - Phone:303-420-4270
Practice Address - Fax:303-420-3490
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3392111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU36979Medicare UPIN