Healthcare Provider Details

I. General information

NPI: 1912498973
Provider Name (Legal Business Name): JENNIFER FARBER ESCHBACH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2018
Last Update Date: 04/13/2020
Certification Date: 04/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 WESTGATE DR
BETHLEHEM PA
18017-7412
US

IV. Provider business mailing address

333 N SUMMIT ST FL 7
TOLEDO OH
43604-2615
US

V. Phone/Fax

Practice location:
  • Phone: 800-427-1902
  • Fax: 419-531-2664
Mailing address:
  • Phone: 419-252-6018
  • Fax: 800-564-5952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP018526
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: