Provider Demographics
NPI:1821713934
Name:JONES, JAMES CLIFFORD JR
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CLIFFORD
Last Name:JONES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 STATE ROUTE 136
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-7223
Mailing Address - Country:US
Mailing Address - Phone:937-927-5540
Mailing Address - Fax:
Practice Address - Street 1:2850 STATE ROUTE 136
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-7223
Practice Address - Country:US
Practice Address - Phone:937-927-5540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor