Individual
JONATHAN B RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5255 E STOP 11 RD STE 300, INDIANAPOLIS, IN 46237-6341
(317) 528-4723
(317) 528-4699
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001993A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/29/2010
Last updated
09/06/2023
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