Individual
ROCHELLE BETH LOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-623
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047955
ANTHEM OF MAINE
ME
05
—
313040099
—
ME
01
—
P00197441
RAILROAD MEDICARE
ME
Enumeration date
05/20/2006
Last updated
02/28/2014
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