Organization
JONES CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MORGAN JONES D.C. (OWNER)
(304) 636-3570
Entity
Organization
Contact information
Practice address
15 RANDOLPH AVE, ELKINS, WV 26241-4011
(304) 636-3570
(304) 636-6646
Mailing address
15 RANDOLPH AVE, ELKINS, WV 26241-4011
(304) 636-3570
(304) 636-6646
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
424
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710212
BLUE CROSS BLUE SHIELD
WV
01
—
1025179
WV WORKERS' COMPENSATION
WV
Enumeration date
05/17/2006
Last updated
09/21/2012
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