Provider Demographics
NPI:1568782118
Name:ESHELMAN, JENNIFER (DC, MT)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:ESHELMAN
Suffix:
Gender:F
Credentials:DC, MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1590 MEDICAL DRIVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-1552
Mailing Address - Country:US
Mailing Address - Phone:610-326-2700
Mailing Address - Fax:610-326-2777
Practice Address - Street 1:2019 10TH ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5117
Practice Address - Country:US
Practice Address - Phone:720-626-8989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010546111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor