Provider Demographics
NPI:1558792333
Name:JONES INTEGRATED PHYSICAL MEDICINE INC
Entity Type:Organization
Organization Name:JONES INTEGRATED PHYSICAL MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:T
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:330-448-8672
Mailing Address - Street 1:1223 STATE ROUTE 7
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-3070
Mailing Address - Country:US
Mailing Address - Phone:330-448-8672
Mailing Address - Fax:330-448-0544
Practice Address - Street 1:1223 STATE ROUTE 7
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-3070
Practice Address - Country:US
Practice Address - Phone:330-448-8672
Practice Address - Fax:330-448-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.084818208100000X
OH15950208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty