Provider Demographics
NPI:1326715814
Name:JEAN-CLAUDE, JONAS
Entity Type:Individual
Prefix:
First Name:JONAS
Middle Name:
Last Name:JEAN-CLAUDE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 WARRIOR RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-5026
Mailing Address - Country:US
Mailing Address - Phone:610-608-4723
Mailing Address - Fax:
Practice Address - Street 1:205 WARRIOR RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-5026
Practice Address - Country:US
Practice Address - Phone:610-608-4723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program