Search › Wisconsin › 363LA2200X
Jerry Jones
NPI 1174288948 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1670 South Blvd
Baraboo, WI 53913 - Phone
- (608) 356-9318
- Organisation at this address
- Astia Health Clinical Services, Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin