Eshbaugh, Jordan Thomas

Eshbaugh, Jordan Thomas is an individual health care provider with primary practice located at 9000 N Main St , Englewood OH 45415-1180. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Eshbaugh, Jordan Thomas can be contacted via phone (937) 734-5853.

Contact Information

Primary practice address
9000 N Main St Englewood OH 45415-1180
Phone: (937) 734-5853
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT.004941 Ohio

Profile Details

NPI number 1639820889
LBN Legal business name Eshbaugh, Jordan Thomas
Credentials AT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2022
Last updated Jan 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639820889 NPPES
Ohio Other AT.004941 STATE LICENSURE

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