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Individual

MR. MICHAEL FABIAN JONES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4420 ROSEMAR ROAD, SUITE 101, PARKERSBURG, WV 26104-1255
(304) 428-3086
(304) 428-5439
Mailing address
1600 MURDOCH AVE, STE 100, PARKERSBURG, WV 26101-3248
(304) 428-3086
(304) 428-5439

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000174
WV
225100000X
Physical Therapist
003380
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000697465
BCBS
WV
05
0158249000
WV
05
0952269
OH
Enumeration date
02/13/2006
Last updated
01/23/2017
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