Ian Eshbaugh, | |
5176 S Broadway, Englewood, CO 80113-6706 | |
(720) 448-0734 | |
Not Available |
Full Name | Ian Eshbaugh |
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Gender | Male |
Speciality | Chiropractor |
Location | 5176 S Broadway, Englewood, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881303147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHR.0008491 (Colorado) | Primary |
Provider Name | Level Up Health Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205546306 PECOS PAC ID: 0244600609 Enrollment ID: O20221228002400 |
Mailing Address | Practice Location Address |
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Ian Eshbaugh, 5176 S Broadway, Englewood, CO 80113-6706 Ph: () - | Ian Eshbaugh, 5176 S Broadway, Englewood, CO 80113-6706 Ph: (720) 448-0734 |
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