1114033297 NPI number — DR. ALISON W JONES PHD

Table of content: DR. ALISON W JONES PHD (NPI 1114033297)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114033297 NPI number — DR. ALISON W JONES PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
ALISON
Provider Middle Name:
W
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

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:
1114033297
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
415 W GRAND RIVER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EAST LANSING
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48823-4201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-332-0300
Provider Business Mailing Address Fax Number:
517-337-1041

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
415 W GRAND RIVER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48823-4201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-332-0300
Provider Business Practice Location Address Fax Number:
517-337-1041
Provider Enumeration Date:
08/22/2006

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: 103TC0700X , with the licence number:  6301002893 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 352320 . This is a "MHN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 039176 . This is a "BEHAVIORAL HEALTH ADMIN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 38254954402 . This is a "ACCIDENT FUND" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: ALISON JONES, PHD . This is a "MEBS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 61-21075 . This is a "PHP OF MID MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 71020000C34626 . This is a "BCBSM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 039176 . This is a "BLUE CARE NETWORK" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 445 . This is a "BUSINESS ADMINISTRATORS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 850J2J0 . This is a "BCBS MINNESOTA" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: IP046224 . This is a "MAGELLAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: OC34626 . This is a "BCBSM" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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