1669514055 NPI number — JOHN FRANCIS JONES

Table of content: JOHN FRANCIS JONES (NPI 1669514055)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669514055 NPI number — JOHN FRANCIS JONES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
JOHN
Provider Middle Name:
FRANCIS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669514055
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/20/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 HAVERHILL RD
Provider Second Line Business Mailing Address:
STE 524
Provider Business Mailing Address City Name:
AMESBURY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01913-2123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-388-7272
Provider Business Mailing Address Fax Number:
978-388-7373

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 RESNIK RD
Provider Second Line Business Practice Location Address:
SUITE 104A
Provider Business Practice Location Address City Name:
PLYMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02360-4844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-535-6053
Provider Business Practice Location Address Fax Number:
781-535-6056
Provider Enumeration Date:
02/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  16092 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0712167 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: BLUE CROSS BS . This is a "Y68647" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: AA11245 . This is a "HARVARD PILGRIM GROUP #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 451847 . This is a "TUFTS INDIV. PROVIDER NUM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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