1528044435 NPI number — DAVID EUGENE JONES PH.D., ABPP

Table of content: DAVID EUGENE JONES PH.D., ABPP (NPI 1528044435)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528044435 NPI number — DAVID EUGENE JONES PH.D., ABPP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
DAVID
Provider Middle Name:
EUGENE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PH.D., ABPP
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:
1528044435
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PSC 482
Provider Second Line Business Mailing Address:
BOX 2935
Provider Business Mailing Address City Name:
FPO
Provider Business Mailing Address State Name:
AP
Provider Business Mailing Address Postal Code:
96362
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
011816117453009
Provider Business Mailing Address Fax Number:
011816117453939

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PSC 482
Provider Second Line Business Practice Location Address:
BOX 2935
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96362
Provider Business Practice Location Address Country Code:
JP
Provider Business Practice Location Address Telephone Number:
011816117453009
Provider Business Practice Location Address Fax Number:
011816117453939
Provider Enumeration Date:
12/22/2005

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:  0810002148 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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