Organization
MARK A. LOESSER D.C., INC
Active
Other names
Loesser Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBERA A LOESSER (SECRETARY/TREASURER)
(419) 424-4058
Entity
Organization
Contact information
Practice address
1000 TIFFIN AVE, FINDLAY, OH 45840-6204
(419) 424-4058
(419) 424-1191
Mailing address
1000 TIFFIN AVE, FINDLAY, OH 45840-6204
(419) 424-4058
(419) 424-1191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
886
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0478095
—
OH
01
—
0500501
MEDICARE PTAN
OH
01
—
350022377
MEDICARE RAILROAD
OH
01
—
886
BUREAU OF WORKER'S COMPENSATION
OH
Enumeration date
01/23/2014
Last updated
01/23/2014
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