Individual
DR. JACOB LOESCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-5911
(270) 417-6497
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58072
KY
208D00000X
General Practice Physician
T5965
TX
Other
Enumeration date
04/02/2020
Last updated
12/26/2023
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