Individual
DR. DANIEL R JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Mailing address
PO BOX 458, NILES, MI 49120-0458
(269) 471-7741
(269) 471-1581
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301054745
MI
207Q00000X
Family Medicine Physician
Primary
4301054745
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081109022
BLUE CROSS PIN
MI
01
—
1538397120
GROUP NPI
MI
01
—
270381199
TAX ID
MI
05
—
3032483
—
MI
01
—
P00168140
RAILROAD MEDICARE
MI
Enumeration date
06/29/2006
Last updated
03/07/2023
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