Provider Demographics
NPI:1750442182
Name:BENJAMIN JONES
Entity Type:Organization
Organization Name:BENJAMIN JONES
Other - Org Name:SIERRA VALLEY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-450-0800
Mailing Address - Street 1:3414 FOLSOM BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5312
Mailing Address - Country:US
Mailing Address - Phone:916-450-0800
Mailing Address - Fax:916-450-0802
Practice Address - Street 1:3414 FOLSOM BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5312
Practice Address - Country:US
Practice Address - Phone:916-450-0800
Practice Address - Fax:916-450-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27099111N00000X
CADC26973111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0269730Medicare UPIN
CADC0270990Medicare UPIN