Provider Demographics
NPI:1689770570
Name:JONES, ANDREW J (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
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 1:2320 N SUNSHINE PATH
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34428-5810
Mailing Address - Country:US
Mailing Address - Phone:352-795-5350
Mailing Address - Fax:352-795-7487
Practice Address - Street 1:2320 N SUNSHINE PATH
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34428-5810
Practice Address - Country:US
Practice Address - Phone:352-795-5350
Practice Address - Fax:352-795-7487
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7327111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAI488Medicare PIN