Jones, Michael Gary

Jones, Michael Gary is an individual health care provider with primary practice located at 777 Hospital Way Bldg A Suite 300, Pocatello ID 83201-5176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jones, Michael Gary can be contacted via phone (208) 232-6100.

Contact Information

Primary practice address
777 Hospital Way Bldg A Suite 300 Pocatello ID 83201-5176
Phone: (208) 232-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X O0428 Idaho

Profile Details

NPI number 1972696565
LBN Legal business name Jones, Michael Gary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 19th, 2012 - about 13 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 1972696565 NPPES
Idaho Other 317455 ALTIUS
Idaho MEDICAID 807748300 ALTIUS
Idaho Other P00412313 ALTIUS

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