Provider Demographics
NPI:1598860223
Name:JONES, STEPHEN A (DC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:A
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 1:18 WYCKOFF AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463
Mailing Address - Country:US
Mailing Address - Phone:201-447-5757
Mailing Address - Fax:201-447-5750
Practice Address - Street 1:18 WYCKOFF AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463
Practice Address - Country:US
Practice Address - Phone:201-447-5757
Practice Address - Fax:201-447-5750
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001992111N00000X
NJ38MC00584200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor