Provider Demographics
NPI:1629155486
Name:JONES, MICHAEL C (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
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 1:517 S 22ND AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-6858
Mailing Address - Country:US
Mailing Address - Phone:406-587-9122
Mailing Address - Fax:406-587-9287
Practice Address - Street 1:517 S 22ND AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6858
Practice Address - Country:US
Practice Address - Phone:406-587-9122
Practice Address - Fax:406-587-9287
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0164996Medicaid
MT000004593Medicare ID - Type Unspecified