Individual
JONATHAN NEWHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
(574) 364-2590
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
(574) 364-2590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004006A
IN
Other
Enumeration date
09/04/2018
Last updated
08/08/2023
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