1194829598 NPI number — WILLIAM A JONES MD

Table of content: WILLIAM A JONES MD (NPI 1194829598)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194829598 NPI number — WILLIAM A JONES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
WILLIAM
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1194829598
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1302 SOUTH SHIELDS ST
Provider Second Line Business Mailing Address:
SUITE A2-1
Provider Business Mailing Address City Name:
FORT COLLINS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80521-4803
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-493-3040
Provider Business Mailing Address Fax Number:
970-493-3045

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1302 SOUTH SHIELDS ST
Provider Second Line Business Practice Location Address:
SUITE A2-1
Provider Business Practice Location Address City Name:
FORT COLLINS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80521-4803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-493-3040
Provider Business Practice Location Address Fax Number:
970-493-3045
Provider Enumeration Date:
09/08/2006

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: 2084P0800X , with the licence number:  16367 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 016852 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 252319 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com