MEDICARE: ROGER CHRISTOPHER JONES D.C.

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	4453	KY

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	:	1518948538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROGER CHRISTOPHER JONES D.C.

Provider Business Mailing Address
First Line	:	2306 ALEXANDRIA PIKE
Second Line	:
City	:	SOUTHGATE
State	:	KY
Zip	:	41071-3234
Country	:	US
Telephone Number	:	859-572-0029
Fax Number	:	859-572-0263

Provider Business Practice Location Address
First Line	:	2306 ALEXANDRIA PIKE
Second Line	:
City	:	SOUTHGATE
State	:	KY
Zip	:	41071-3234
Country	:	US
Telephone Number	:	859-572-0029
Fax Number	:	859-572-0263

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	04/30/2008

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