Provider Demographics
NPI:1659790145
Name:JONES, BRETT ALLEN (DC)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:ALLEN
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 1:3001 E SKYLINE DR STE 115
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-2144
Mailing Address - Country:US
Mailing Address - Phone:520-344-9651
Mailing Address - Fax:
Practice Address - Street 1:3001 E SKYLINE DR STE 115
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-2144
Practice Address - Country:US
Practice Address - Phone:520-344-9651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA46-3489176OtherFEIN