Provider Demographics
NPI:1629780960
Name:JONES, AMBER LEE (DC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 POST OFFICE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2714
Mailing Address - Country:US
Mailing Address - Phone:301-870-4277
Mailing Address - Fax:301-645-1252
Practice Address - Street 1:1 POST OFFICE RD STE 102
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2714
Practice Address - Country:US
Practice Address - Phone:301-870-4277
Practice Address - Fax:301-645-1252
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS04149111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor