Individual
JONATHAN P CORRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4995 BRADENTON AVE STE 130, DUBLIN, OH 43017-3551
(614) 580-6917
Mailing address
3755 ORANGE PL STE 101, BEACHWOOD, OH 44122-4455
(844) 746-8537
(216) 450-1810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-002662
OH
363A00000X
Physician Assistant
AMD-592
HI
363A00000X
Physician Assistant
PA52977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079005
—
OH
Enumeration date
03/06/2008
Last updated
05/24/2024
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