Eshleman, Gwen Ann
Eshleman, Gwen Ann is an individual health care provider with primary practice located at 1992 E Stop 13 Rd , Indianapolis IN 46227-6267. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Eshleman, Gwen Ann can be contacted via phone (317) 390-5575.Contact Information
Primary practice address
1992 E Stop 13 Rd
Indianapolis IN 46227-6267
Phone: (317) 390-5575
Fax: (317) 486-2189
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05003526A | Indiana |
Profile Details
NPI number | 1467429985 |
---|---|
LBN Legal business name | Eshleman, Gwen Ann |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2006 |
Last updated | Nov 29th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467429985 | NPPES |
Indiana | Other | 000000111972 | ANTHEM ID |
Indiana | MEDICAID | 100366690 | ANTHEM ID |
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