Individual
JORDAN THOMAS ESHBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
9000 N MAIN ST, ENGLEWOOD, OH 45415-1180
(937) 734-5853
Mailing address
4916 NATIONAL RD, CLAYTON, OH 45315-9705
(937) 832-6048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004941
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT.004941
STATE LICENSURE
OH
Enumeration date
01/10/2022
Last updated
01/10/2022
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