Individual
MR. MICHAEL LANE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2980 HIGHWAY 78 E, JASPER, AL 35501-8903
(205) 384-1941
(205) 384-6362
Mailing address
2980 HWY 78 EAST, JASPER, AL 35501-9532
(205) 384-1941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R62444
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000071218
—
AL
01
—
051071218
BC/BS OF ALABAMA
AL
01
—
650005667
RAILROAD MEDICARE
AL
Enumeration date
12/27/2005
Last updated
11/30/2010
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