Provider Demographics
NPI:1750524211
Name:SEN H JONE MD INC
Entity type:Organization
Organization Name:SEN H JONE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:JONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-393-6727
Mailing Address - Street 1:1355 FLORIN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-4200
Mailing Address - Country:US
Mailing Address - Phone:916-393-6727
Mailing Address - Fax:916-393-2563
Practice Address - Street 1:1355 FLORIN RD STE 2
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-4200
Practice Address - Country:US
Practice Address - Phone:916-393-6727
Practice Address - Fax:916-393-2563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A322750Medicaid
CA00A322750Medicare PIN