Individual
DR. TRENT R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20 E 3RD ST, PERU, IN 46970-2215
(765) 472-7777
(765) 472-7475
Mailing address
PO BOX 1066, PERU, IN 46970-4066
(765) 472-7777
(765) 472-7475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001127A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000182696
ANTHEM
IN
05
—
100179460A
—
IN
01
—
350013985
PALMETTO GBA-RR MEDICARE
IN
Enumeration date
06/01/2005
Last updated
12/18/2012
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