1730114828 NPI number — MRS. ELIZABETH A JONES PT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730114828 NPI number — MRS. ELIZABETH A JONES PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
ELIZABETH
Provider Middle Name:
A
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
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:
1730114828
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5120 STOCKHOLM LOOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BISMARCK
Provider Business Mailing Address State Name:
ND
Provider Business Mailing Address Postal Code:
58503-7505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
701-751-2020
Provider Business Mailing Address Fax Number:
833-283-5592

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5120 STOCKHOLM LOOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BISMARCK
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58503-7505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-751-2020
Provider Business Practice Location Address Fax Number:
833-283-5592
Provider Enumeration Date:
07/11/2006

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: 225100000X , with the licence number:  1405 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 030477097 . This is a "LOURK FORCE SAFETY" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
  • Identifier: 650024893 . This is a "PALMETTO GBA" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
  • Identifier: 54130 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 030477097 . This is a "TRIWEST" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com