Provider Demographics
NPI:1144321043
Name:JONES, VIRGINIA L (DC)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:L
Last Name:JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 ASH AVE
Mailing Address - Street 2:SUITE 102-A
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1255
Mailing Address - Country:US
Mailing Address - Phone:757-749-6929
Mailing Address - Fax:703-997-2559
Practice Address - Street 1:208 ASH AVE
Practice Address - Street 2:SUITE 102-A
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1255
Practice Address - Country:US
Practice Address - Phone:757-749-6929
Practice Address - Fax:703-997-2559
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556028111N00000X
CA20645111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA102789OtherBLUE CROSS