Healthcare Provider Details

I. General information

NPI: 1265336077
Provider Name (Legal Business Name): JPM MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6455 MONROE ST APT 1-108
SYLVANIA OH
43560-1448
US

IV. Provider business mailing address

6455 MONROE ST APT 1-108
SYLVANIA OH
43560-1448
US

V. Phone/Fax

Practice location:
  • Phone: 219-241-3321
  • Fax:
Mailing address:
  • Phone: 219-241-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JEREMY PAUL MARCHAND
Title or Position: DOCTOR/OWNER
Credential: DPM
Phone: 219-241-3321