Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | E3875 | CA |
NPI | 1205806163 |
---|---|
Provider Name | Dr. Franklyn C Jones |
First Address | Fresno, CA 93729-7195 |
Second Address | Fresno, CA 93710-5272 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 29/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E38750 | BLUE CROSS PROVIDER NUMBER (01) | CA |
000E38750 | PRIVATE INSURANCE (01) | CA |
5725140001 | NORIDIAN ADMIN. SERVICES (01) | ND |
GRE001120 | (05) | CA |
U42459 | (02) | CA |
ZZZ45038Z | BLUE SHIELD PROVIDER # (01) | CA |