Healthcare Provider Details

I. General information

NPI: 1346543931
Provider Name (Legal Business Name): SILAS E ESCH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2010
Last Update Date: 12/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 W MAIN ST SUITE 1
MOUNT JOY PA
17552-9699
US

IV. Provider business mailing address

1013 W MAIN ST SUITE 1
MOUNT JOY PA
17552-9699
US

V. Phone/Fax

Practice location:
  • Phone: 717-367-6224
  • Fax:
Mailing address:
  • Phone: 717-367-6224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: