Healthcare Provider Details

I. General information

NPI: 1881620136
Provider Name (Legal Business Name): MR. JOSEPH M ESCHMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 02/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2581 NORTH RD NE SUITE A
WARREN OH
44483-3052
US

IV. Provider business mailing address

2581 NORTH RD NE SUITE A
WARREN OH
44483-3052
US

V. Phone/Fax

Practice location:
  • Phone: 330-372-5800
  • Fax: 330-372-5841
Mailing address:
  • Phone: 330-372-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT004472
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT013103L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: