MEDICARE: ROCHELLE JONES DC

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	111N00000X	Chiropractor	1187	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114921780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE JONES DC

Provider Business Mailing Address
First Line	:	5209 FOREST DR
Second Line	:	SUITE C
City	:	COLUMBIA
State	:	SC
Zip	:	29206-5422
Country	:	US
Telephone Number	:	803-771-9990
Fax Number	:

Provider Business Practice Location Address
First Line	:	5209 FOREST DR
Second Line	:	SUITE C
City	:	COLUMBIA
State	:	SC
Zip	:	29206-5422
Country	:	US
Telephone Number	:	803-771-9990
Fax Number	:

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	11/20/2014

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Directions to “ ROCHELLE JONES DC” Practice Location

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