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NPI Code Detail

MEDICARE: MARC RICHARD CONNELY JONES D.O.

MEDICARE:   MARC RICHARD CONNELY JONES  D.O.
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
1207P00000XEmergency Medicine Physician5101014908MI

Other Identifiers

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

General Provider Information

NPI Number : 1841266806
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC RICHARD CONNELY JONES D.O.
Provider Business Mailing Address
First Line : 1221 PINE GROVE AVE
Second Line : MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT
City : PORT HURON
State : MI
Zip : 48060-3511
Country : US
Telephone Number : 810-989-3300
Fax Number : 810-985-2671
Provider Business Practice Location Address
First Line : 1221 PINE GROVE AVE
Second Line : MCLAREN PORT HURON - EMERGENCY MEDICINE DEPARTMENT
City : PORT HURON
State : MI
Zip : 48060-3511
Country : US
Telephone Number : 810-989-3300
Fax Number : 810-985-2671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 09/04/2014

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Directions to “ MARC RICHARD CONNELY JONES D.O.” Practice Location

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