Provider Demographics
NPI:1851378756
Name:JONES, JOHN K (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
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 1:1 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1933
Mailing Address - Country:US
Mailing Address - Phone:610-478-1630
Mailing Address - Fax:610-478-1620
Practice Address - Street 1:1 WOODLAND RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19610-1933
Practice Address - Country:US
Practice Address - Phone:610-478-1630
Practice Address - Fax:610-478-1620
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004155L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA516619OtherAETNA HMO
PA7044015OtherAETNA PPO
PA3000120OtherKEYSTONE CENTRAL & SR. BL
PA586108OtherHIGHMARK BS
PA2313598000OtherKEYSTONE HEALTH PLAN EAST
PA3000120OtherKEYSTONE CENTRAL & SR. BL
PA516619OtherAETNA HMO