Provider Demographics
NPI:1942360094
Name:JONES, H ROYCE (DC)
Entity Type:Individual
Prefix:DR
First Name:H
Middle Name:ROYCE
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 1:1615 RAINBOW DRIVE
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-5380
Mailing Address - Country:US
Mailing Address - Phone:256-547-1603
Mailing Address - Fax:256-547-6534
Practice Address - Street 1:1615 RAINBOW DRIVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5380
Practice Address - Country:US
Practice Address - Phone:256-547-1603
Practice Address - Fax:256-547-6534
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T87420Medicare UPIN
72088Medicare ID - Type Unspecified