Provider Demographics
NPI:1619173408
Name:JONES, EDWARD ALAN
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:ALAN
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:# 5 ROAD 84 3RD FLOOR
Mailing Address - Street 2:
Mailing Address - City:DHAKA
Mailing Address - State:GULSHAN
Mailing Address - Zip Code:1212
Mailing Address - Country:BD
Mailing Address - Phone:011880172-038-4159
Mailing Address - Fax:
Practice Address - Street 1:3101 WILSON AVE
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-4654
Practice Address - Country:US
Practice Address - Phone:724-378-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer