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NPI Code Detail

MEDICARE: DONALD C JONES MD PC

MEDICARE: DONALD C JONES MD PC
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
1207Q00000XFamily Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
106361X10837OTHERMIMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2200000004383OTHERMIPHPSM

General Provider Information

NPI Number : 1972782654
Entity Type Code : Organization
Provider Name (Legal Business Name) : DONALD C JONES MD PC
Provider Business Mailing Address
First Line : 2600 SPRING ARBOR RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-3604
Country : US
Telephone Number : 517-788-6470
Fax Number : 517-788-5547
Provider Business Practice Location Address
First Line : 2600 SPRING ARBOR RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-3604
Country : US
Telephone Number : 517-788-6470
Fax Number : 517-788-5547
Authorized Official
Title or Position : OWNER
Name : DONALD CHARLES JONES
Credential : M.D.
Telephone Number : 517-788-6470
Provider Enumeration Date : 10/30/2007
Last Update Date : 12/06/2007

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