Jones, David R

Jones, David R is an individual health care provider with primary practice located at 191 Memorial Dr Suite 100, Berlin WI 54923-1241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jones, David R can be contacted via phone (920) 361-2500.

Contact Information

Primary practice address
191 Memorial Dr Suite 100 Berlin WI 54923-1241
Fax: (920) 361-2973
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22113 Wisconsin

Profile Details

NPI number 1295899987
LBN Legal business name Jones, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Feb 11th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295899987 NPPES
Wisconsin MEDICAID 30505000

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