Individual
DR. LARRY JAY LOEWEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1374 COMMERCIAL AVE, SUITE 3, CRYSTAL FALLS, MI 49920-1085
(906) 875-3215
(906) 874-3215
Mailing address
1374 COMMERCIAL AVE, SUITE 3, CRYSTAL FALLS, MI 49920-1085
(906) 875-3215
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008438
MI
111NR0400X
Rehabilitation Chiropractor
2301008438
MI
111NS0005X
Sports Physician Chiropractor
2301008438
MI
111NX0100X
Occupational Health Chiropractor
2301008438
MI
111NX0800X
Orthopedic Chiropractor
2301008438
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950D75037
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/24/2007
Last updated
10/27/2009
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