Provider Demographics
NPI:1346714656
Name:ESLER, JOSEPH WILLIAM (BS, BA, CSCS, CISSN)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:ESLER
Suffix:
Gender:M
Credentials:BS, BA, CSCS, CISSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19374
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80308-2374
Mailing Address - Country:US
Mailing Address - Phone:720-772-1444
Mailing Address - Fax:844-300-7826
Practice Address - Street 1:5485 CONESTOGA CT STE 110B
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2752
Practice Address - Country:US
Practice Address - Phone:720-772-1444
Practice Address - Fax:844-300-7826
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-20
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO174H00000X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No174H00000XOther Service ProvidersHealth Educator