Jacques, J Monique

Jacques, J Monique is an individual health care provider with primary practice located at 630 E River St 4Th Floor Pathology Dept, Elyria OH 44035-5902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Jacques, J Monique can be contacted via phone (440) 329-7656.

Contact Information

Primary practice address
630 E River St 4Th Floor Pathology Dept Elyria OH 44035-5902
Phone: (440) 329-7656
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35068944 Ohio

Profile Details

NPI number 1740239888
LBN Legal business name Jacques, J Monique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Feb 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740239888 NPPES
Ohio MEDICAID 0239889

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