Provider Demographics
NPI:1982132452
Name:DANIEL D. JONES,D.C.
Entity Type:Organization
Organization Name:DANIEL D. JONES,D.C.
Other - Org Name:ST. MARYS CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-834-3217
Mailing Address - Street 1:129 N MICHAEL ST STE 10
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-1173
Mailing Address - Country:US
Mailing Address - Phone:814-834-3217
Mailing Address - Fax:814-834-5179
Practice Address - Street 1:129 N MICHAEL ST STE 10
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-1173
Practice Address - Country:US
Practice Address - Phone:814-834-3217
Practice Address - Fax:814-834-5179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002591L111N00000X
PADC011248111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty