Provider Demographics
NPI:1053418145
Name:JONES, MARK DANIEL (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:DANIEL
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13632 N MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1358
Mailing Address - Country:US
Mailing Address - Phone:317-669-2049
Mailing Address - Fax:317-867-5657
Practice Address - Street 1:13632 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1358
Practice Address - Country:US
Practice Address - Phone:317-669-2049
Practice Address - Fax:317-867-5657
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002264A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INVO8972Medicare UPIN
IN235320AMedicare ID - Type Unspecified