Individual
JODIE LOOMANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3283 122ND AVE, PO DRAWER 130, ALLEGAN, MI 49010-9511
(269) 686-5124
Mailing address
3283 122ND AVE, PO DRAWER 130, ALLEGAN, MI 49010-9511
(616) 403-7102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6401014757
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
MI
Enumeration date
10/29/2015
Last updated
10/29/2015
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