MEDICARE: DR. ALISON W JONES PHD

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
1	103TC0700X	Clinical Psychologist	6301002893	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	352320	OTHER	MI	MHN
2	039176	OTHER	MI	BEHAVIORAL HEALTH ADMIN
3	38254954402	OTHER	MI	ACCIDENT FUND
4	ALISON JONES, PHD	OTHER	MI	MEBS
5	61-21075	OTHER	MI	PHP OF MID MICHIGAN
6	71020000C34626	OTHER	MI	BCBSM
7	039176	OTHER	MI	BLUE CARE NETWORK
8	445	OTHER	MI	BUSINESS ADMINISTRATORS
9	850J2J0	OTHER	MI	BCBS MINNESOTA
10	IP046224	OTHER	MI	MAGELLAN
11	OC34626	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1114033297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALISON W JONES PHD

Provider Business Mailing Address
First Line	:	415 W GRAND RIVER AVE
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-4201
Country	:	US
Telephone Number	:	517-332-0300
Fax Number	:	517-337-1041

Provider Business Practice Location Address
First Line	:	415 W GRAND RIVER AVE
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-4201
Country	:	US
Telephone Number	:	517-332-0300
Fax Number	:	517-337-1041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/09/2007

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