Individual
DR. WALTER WILLIAM JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10615
WV
174400000X
Specialist
Primary
35046773
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000154078
ANTHEM BLUE CROSS
—
01
—
0004096334
AETNA
OH
01
—
001723394
BLUE CROSS/BLUE SHIELD
OH
05
—
0095862000
—
WV
05
—
0468515
—
OH
01
—
170000006
RR MEDICARE
OH
01
—
39610
ADVANTRA/CARELINK
OH
01
—
46773
HEALTH PLAN OF UPPER OV
OH
01
—
610941466
TRICARE
OH
01
—
610941466
WV WORKERS COMP
WV
01
—
61094146600
OH BUREAU OF WORKERS COMP
OH
Enumeration date
05/02/2006
Last updated
07/08/2007
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