Individual
JONATHAN T EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA, AT
Contact information
Practice address
1003 BELLEFONTAINE AVE STE 125, LIMA, OH 45804-1867
(419) 998-8207
(419) 998-8216
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
50.007148RX
OH
Other
Enumeration date
02/08/2019
Last updated
09/10/2025
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