Individual
RICHARD JOHN LOESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
418 1/2 N MAIN ST, PRINCETON, IN 47670-1516
(812) 386-6750
(812) 385-3667
Mailing address
418 1/2 N MAIN ST, PRINCETON, IN 47670-1516
(812) 386-6750
(812) 385-3667
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016.004190
IL
213E00000X
Podiatrist
Primary
07000440
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054197
ANTHEM
IN
01
—
073517
HEALTH ALLIANCE
IL
01
—
1007961
CIGNA
—
01
—
6020181
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/30/2006
Last updated
11/12/2013
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