Provider Demographics
NPI:1598958266
Name:JEAN-PAUL, MARIE J (MD)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:J
Last Name:JEAN-PAUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 W MARKET ST STE 320
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-2777
Mailing Address - Country:US
Mailing Address - Phone:347-495-1865
Mailing Address - Fax:
Practice Address - Street 1:920 W MARKET ST STE 320
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2777
Practice Address - Country:US
Practice Address - Phone:347-495-1865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.085734207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy