1568844033 NPI number — DR. JAMIE G LOSCHEN AUD

Table of content: DR. JAMIE G LOSCHEN AUD (NPI 1568844033)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568844033 NPI number — DR. JAMIE G LOSCHEN AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOSCHEN
Provider First Name:
JAMIE
Provider Middle Name:
G
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AUD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568844033
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 945
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EDGARTOWN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02539-0945
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-627-0565
Provider Business Mailing Address Fax Number:
508-290-9533

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 STATE ROAD
Provider Second Line Business Practice Location Address:
#3
Provider Business Practice Location Address City Name:
VINEYARD HAVEN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02568
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-627-0565
Provider Business Practice Location Address Fax Number:
508-627-0565
Provider Enumeration Date:
06/22/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  1070 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 237600000X , with the licence number: 1070 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110105823A , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com