Provider Demographics
NPI:1336234319
Name:ESHLEMAN, JOHN KRAYBILL (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:KRAYBILL
Last Name:ESHLEMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1556 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-9267
Mailing Address - Country:US
Mailing Address - Phone:215-862-1076
Mailing Address - Fax:215-862-1078
Practice Address - Street 1:5303 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-1217
Practice Address - Country:US
Practice Address - Phone:215-831-1404
Practice Address - Fax:215-831-1739
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS004143L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF27375Medicare UPIN
PA106233Medicare ID - Type Unspecified