1407409501 NPI number — MR. JEFFREY MICHAEL JONES H.I.S. (HEARING INST

Table of content: MR. JEFFREY MICHAEL JONES H.I.S. (HEARING INST (NPI 1407409501)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407409501 NPI number — MR. JEFFREY MICHAEL JONES H.I.S. (HEARING INST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
JEFFREY
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
H.I.S. (HEARING INST
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JONES
Provider Other First Name:
JAY
Provider Other Middle Name:
MICHAEL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1407409501
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/18/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
131 E. HAIN ST BELTONE HEARING CARE CENTER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RAVENNA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44266
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-297-0335
Provider Business Mailing Address Fax Number:
330-297-2291

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
131 E. HAIN ST BELTONE HEARING CARE CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RAVENNA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44266
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-297-0335
Provider Business Practice Location Address Fax Number:
330-297-2291
Provider Enumeration Date:
07/18/2019

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: 237700000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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