Provider Demographics
NPI:1730385238
Name:H ALAN JONES D O INC.
Entity type:Organization
Organization Name:H ALAN JONES D O INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RONZANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-836-9515
Mailing Address - Street 1:929 RIDGE RD STE 7
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1769
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:929 RIDGE RD STE 7
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1769
Practice Address - Country:US
Practice Address - Phone:219-836-9515
Practice Address - Fax:219-836-8547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02000640A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN226400Medicare PIN
INDD9851Medicare PIN