Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101033548 | VA |
NPI | 1023043106 |
---|---|
Provider Name | Harry C Eschenroeder JR. |
First Address | Lynchburg, VA 24501-2184 |
Second Address | Lynchburg, VA 24501-2184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 20/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010160782 | (05) | VA |
B60011 | (02) | |
P00220187 | MEDICARE RAILROAD (01) | VA |