Provider Demographics
NPI:1760956908
Name:MURACH, JONATHAN RICHARD (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:RICHARD
Last Name:MURACH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6988 IVANDALE RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-5323
Mailing Address - Country:US
Mailing Address - Phone:216-513-9287
Mailing Address - Fax:
Practice Address - Street 1:6988 IVANDALE RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-5323
Practice Address - Country:US
Practice Address - Phone:216-513-9287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant