Healthcare Provider Details

I. General information

NPI: 1518036276
Provider Name (Legal Business Name): MARC LOUIS ESCHLER L.C.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 12/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1556 WILLIAMS ST SUITE 201
DENVER CO
80218-1661
US

IV. Provider business mailing address

4141 E DICKENSON PL
DENVER CO
80222-6012
US

V. Phone/Fax

Practice location:
  • Phone: 720-255-0676
  • Fax: 720-255-0676
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1091
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: