Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D83452 | MD |
Y | 207XS0106X | Orthopaedic Hand Surgeon | D83452 | MD |
NPI | 1194959155 |
---|---|
Provider Name | Christopher Michael Jones |
First Address | Annapolis, MD 21401-3742 |
Second Address | Annapolis, MD 21401-3742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2009 |
Last Update Date | 08/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
123456100 | (05) | MD |