Provider Demographics
NPI:1710935226
Name:JONES, JEFFREY M (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:M
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2845 CAPITAL AVE SW
Mailing Address - Street 2:SUITE201
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4185
Mailing Address - Country:US
Mailing Address - Phone:269-969-6177
Mailing Address - Fax:269-969-8776
Practice Address - Street 1:2845 CAPITAL AVE SW
Practice Address - Street 2:SUITE 201
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4185
Practice Address - Country:US
Practice Address - Phone:269-969-6177
Practice Address - Fax:269-969-8776
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI0422312084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1710935226Medicaid
MI130018190OtherRAILROAD MEDICARE
MI0M37350Medicare PIN
MI1301300081OtherBLUE CROSS AND BLUE SHIELD PIN
MI4574636Medicaid
A78147Medicare UPIN
MI0A31027OtherBLUE CROSS BLUE SHIELD