Individual
H ALAN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D O INC.
Contact information
Practice address
929 RIDGE RD STE 7, MUNSTER, IN 46321-1769
(219) 836-9515
(219) 836-8547
Mailing address
929 RIDGE RD STE 7, MUNSTER, IN 46321-1769
(219) 836-9515
(219) 836-8547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000640
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095398
ANTHEM
IN
01
—
0090000255
BLUE CROSS BLUE SHIELD OF
IL
Enumeration date
07/17/2006
Last updated
06/20/2016
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