Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 005091 | MO |
NPI | 1144333634 |
---|---|
Provider Name | Dr. Rhonda Lynn Jones |
First Address | Saint Louis, MO 63141-6729 |
Second Address | Saint Louis, MO 63141-6729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
113080 | GHP (01) | MO |
117393 | HEALTH LINK (01) | MO |
134566 | BLUECROSSBLUESHIELD (01) | MO |
4232626 | AETNA (01) | MO |
44-00114 | UNITED HEALTHCARE (01) | MO |
T43479 | (02) | MO |