Provider Demographics
NPI:1962555706
Name:PAUL, RONALD JEAN (RN)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:JEAN
Last Name:PAUL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:RONALD
Other - Middle Name:JEAN
Other - Last Name:PAUL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1207 COLSTON DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3685
Mailing Address - Country:US
Mailing Address - Phone:614-818-9336
Mailing Address - Fax:
Practice Address - Street 1:1207 COLSTON DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3685
Practice Address - Country:US
Practice Address - Phone:614-818-9336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN317594163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health