Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 29895 | CA |
NPI | 1003012246 |
---|---|
Provider Name | Dr. Ryan Matthew Jones |
First Address | Merced, CA 95344-0676 |
Second Address | Merced, CA 95340-2822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 01/04/2015 |