Individual
ERIC C JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
138 W STATE ST, PENDLETON, IN 46064-1034
(765) 221-9413
(765) 221-9418
Mailing address
138 W STATE ST, PENDLETON, IN 46064-1034
(765) 221-9413
(765) 221-9418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047098A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350598
ANTHEM
IN
05
—
200195120
—
IN
01
—
P00184115
RR MEDICARE
IN
Enumeration date
08/01/2006
Last updated
08/05/2012
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