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NPI Code Detail

MEDICARE: JOSH EATON

MEDICARE:   JOSH  EATON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1841786381
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSH EATON
Provider Business Mailing Address
First Line : 31 W MAIN ST APT C
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1345
Country : US
Telephone Number : 717-798-5729
Fax Number :
Provider Business Practice Location Address
First Line : 101 N COLLEGE AVE
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1404
Country : US
Telephone Number : 717-798-5729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 07/09/2018

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Directions to “ JOSH EATON ” Practice Location

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