Provider Demographics
NPI:1295733871
Name:JONES, MARK S (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:S
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 1:8817 E MISSION AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-5034
Mailing Address - Country:US
Mailing Address - Phone:509-928-1400
Mailing Address - Fax:509-927-3034
Practice Address - Street 1:8817 E MISSION AVE STE 204
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-5034
Practice Address - Country:US
Practice Address - Phone:509-928-1400
Practice Address - Fax:509-927-3034
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003506111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB23236Medicare ID - Type Unspecified
WAU67856Medicare UPIN