Provider Demographics
NPI:1447452040
Name:JONES, CORTNEY V (MD)
Entity type:Individual
Prefix:DR
First Name:CORTNEY
Middle Name:V
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 W OUTER DR
Mailing Address - Street 2:SUITE 321
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-2614
Mailing Address - Country:US
Mailing Address - Phone:313-966-8711
Mailing Address - Fax:313-966-1875
Practice Address - Street 1:6001 W OUTER DR
Practice Address - Street 2:SUITE 321
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2614
Practice Address - Country:US
Practice Address - Phone:313-966-8711
Practice Address - Fax:313-966-1875
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301082497207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0952093OtherBCBSM PIN
MI1447452040Medicaid
MI1447452040Medicaid