Provider Demographics
NPI:1578751855
Name:TERRY L JONES, D.C. INC.
Entity Type:Organization
Organization Name:TERRY L JONES, D.C. INC.
Other - Org Name:JONES CHIROPRACTIC OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-773-9463
Mailing Address - Street 1:210 N DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-2206
Mailing Address - Country:US
Mailing Address - Phone:937-773-9463
Mailing Address - Fax:937-773-6142
Practice Address - Street 1:210 N DOWNING ST
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-2206
Practice Address - Country:US
Practice Address - Phone:937-773-9463
Practice Address - Fax:937-773-6142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0420600Medicaid
OH0420600Medicaid
OH9249931Medicare PIN