Provider Demographics
NPI:1992850226
Name:ESCHLIMAN, CHAD JASON (RT(R))
Entity Type:Individual
Prefix:MR
First Name:CHAD
Middle Name:JASON
Last Name:ESCHLIMAN
Suffix:
Gender:M
Credentials:RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33285 SPOONBILL AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48173
Mailing Address - Country:US
Mailing Address - Phone:737-395-3880
Mailing Address - Fax:
Practice Address - Street 1:33285 SPOONBILL AVE
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48173
Practice Address - Country:US
Practice Address - Phone:737-395-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3558052471C3401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed Tomography