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NPI Code Detail

MEDICARE: DR. JEFFREY S. ESHLEMAN M.D.

MEDICARE: DR. JEFFREY S. ESHLEMAN M.D.
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
12085R0001XRadiation Oncology PhysicianMD418114PA
22085R0001XRadiation Oncology Physician49277MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2231855378OTHERPATAX ID - LANC RADIOLOGY

General Provider Information

NPI Number : 1770561433
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY S. ESHLEMAN M.D.
Provider Business Mailing Address
First Line : 343 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3156
Country : US
Telephone Number : 406-752-1790
Fax Number : 406-756-3529
Provider Business Practice Location Address
First Line : 343 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3156
Country : US
Telephone Number : 406-752-1790
Fax Number : 406-756-3529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 10/20/2022

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