Provider Demographics
NPI:1932315660
Name:JONES, SAVITA L (LM)
Entity Type:Individual
Prefix:
First Name:SAVITA
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61440 ARGO RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:WI
Mailing Address - Zip Code:54856-1094
Mailing Address - Country:US
Mailing Address - Phone:715-413-0197
Mailing Address - Fax:
Practice Address - Street 1:61440 ARGO RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:WI
Practice Address - Zip Code:54856-1094
Practice Address - Country:US
Practice Address - Phone:715-413-0197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11-049176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife