Provider Demographics
NPI:1356305031
Name:ESHBAUGH, DAREN EUGENE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAREN
Middle Name:EUGENE
Last Name:ESHBAUGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4501
Mailing Address - Country:US
Mailing Address - Phone:717-496-8301
Mailing Address - Fax:717-496-8426
Practice Address - Street 1:70 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4501
Practice Address - Country:US
Practice Address - Phone:717-496-8301
Practice Address - Fax:717-496-8426
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004942L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02728100OtherCAPITAL BC
PA711630OtherHIGHMARK BS
PA711630OtherHIGHMARK BS