1649367780 NPI number — DR. EMMA MORVANT JONES MD

Table of content: DR. EMMA MORVANT JONES MD (NPI 1649367780)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649367780 NPI number — DR. EMMA MORVANT JONES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
EMMA
Provider Middle Name:
MORVANT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1649367780
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
450 BROOKLINE AVE
Provider Second Line Business Mailing Address:
D2-016A
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02215-5418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-632-5562
Provider Business Mailing Address Fax Number:
617-582-7271

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 BROOKLINE AVE
Provider Second Line Business Practice Location Address:
D2-016A
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02215-5418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-632-5562
Provider Business Practice Location Address Fax Number:
617-582-7271
Provider Enumeration Date:
10/09/2006

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: 2080H0002X , with the licence number:  256587 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1888656 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01626298 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com