1194725986 NPI number — FRED R LOERTSCHER DC PS

Table of content: (NPI 1194725986)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194725986 NPI number — FRED R LOERTSCHER DC PS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRED R LOERTSCHER DC PS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1194725986
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/19/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1310 SIMPSON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ABERDEEN
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98520-4704
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-532-6545
Provider Business Mailing Address Fax Number:
360-532-6549

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1310 SIMPSON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ABERDEEN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98520-4704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-532-6545
Provider Business Practice Location Address Fax Number:
360-532-6549
Provider Enumeration Date:
07/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
LOERTSCHER
Authorized Official First Name:
FRED
Authorized Official Middle Name:
RUDOLPH
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
360-532-6545

Provider Taxonomy Codes

  • Taxonomy code: 111NN0400X , with the licence number:  CH00000853 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: LO 0307 . This is a "REGENCE INSURANCE CO" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 2555803 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 13278 . This is a "DEPT OF LABOR & INDUSTRIE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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