Healthcare Provider Details
I. General information
NPI: 1780761577
Provider Name (Legal Business Name): HEIDI ANN JONES D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3414 FOLSOM BLVD
SACRAMENTO CA
95816-5312
US
IV. Provider business mailing address
3319 FOLSOM BLVD
SACRAMENTO CA
95816-5329
US
V. Phone/Fax
- Phone: 916-450-0800
- Fax: 916-450-0802
- Phone: 916-450-0800
- Fax: 916-450-0802
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC26973 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: