Provider Demographics
NPI:1730597055
Name:ESCHBACHER, CYNTHIA (STNA)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:ESCHBACHER
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:ANN
Other - Last Name:WLLIAMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:STNA
Mailing Address - Street 1:12872 TECHNIGLAS RD NE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-8714
Mailing Address - Country:US
Mailing Address - Phone:740-258-7121
Mailing Address - Fax:
Practice Address - Street 1:12872 TECHNIGLAS RD NE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-8714
Practice Address - Country:US
Practice Address - Phone:740-258-7121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH364944880591OtherTHE OHIO DEPARTMENT OF HEALTH