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NPI Code Detail

MEDICARE: MR. RYAN M JONES LSW

MEDICARE: MR. RYAN M JONES LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerS.0800656OH

General Provider Information

NPI Number : 1043588858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN M JONES LSW
Provider Business Mailing Address
First Line : 1751 E LONG ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-2045
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1751 E LONG ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-2045
Country : US
Telephone Number : 614-253-8050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2011
Last Update Date : 12/07/2011

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Directions to “ MR. RYAN M JONES LSW” Practice Location

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