Individual
CHAD JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
800 ODELIA RD NE, ALBUQUERQUE, NM 87102-1619
(505) 843-6400
Mailing address
4012 CIBOLA VILLAGE DR NE, ALBUQUERQUE, NM 87111-4180
(240) 994-3610
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
614
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002331
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
01
—
614
STATE OF NEW MEXICO REGULATION & LICENSING DEPARTMENT
NM
Enumeration date
01/04/2016
Last updated
01/04/2016
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