MEDICARE: DR. MICHAEL K 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	932	MS

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	:	1376626192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL K JONES DC

Provider Business Mailing Address
First Line	:	134 W CENTER ST
Second Line	:
City	:	CANTON
State	:	MS
Zip	:	39046-3735
Country	:	US
Telephone Number	:	601-859-0027
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 W CENTER ST
Second Line	:
City	:	CANTON
State	:	MS
Zip	:	39046-3735
Country	:	US
Telephone Number	:	601-859-0027
Fax Number	:

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/08/2007

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