Jason Lee Loth is a Sports Physician in Gilbert, Arizona. Jason Lee Loth practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jason Lee Loth is 1063560308. The last update date is 2007-07-09.
Jason Lee Loth's current location address is 1425 W Elliot Rd, Gilbert, Arizona. You can contact this provider via phone number 4808129000 and fax number 4808129040. The mailing address for Jason Lee Loth is 1425 W Elliot Rd, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Lee Loth |
|---|---|
| Address | 1425 W Elliot Rd, Gilbert, Arizona |
| Phone Number | 4808129000 |
| Fax Number | 4808129040 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1063560308 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1425 W Elliot Rd |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852335129 |
| Phone Number | 4808129000 |
| Fax Number | 4808129040 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 5900 |
|
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1936614 | AZ | FIRST HEALTH | |
| 623803 | AZ | ACN | |
| AZ0938770 | AZ | BCBS | |
| 1Z0112 | AZ | HEALTHNET |
Post Comment/ Review Below
What is the unique identifier code issued to Jason Lee Loth by the Centers for Medicare & Medicaid Services?
The Jason Lee Loth has been assigned the NPI (National Provider Identifier) 1063560308. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jason Lee Loth located?
The Jason Lee Loth is located at 1425 W Elliot Rd, Gilbert, AZ 852335129.
What is Jason Lee Loth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Lee Loth's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063560308 to Jason Lee Loth?
The Jason Lee Loth received its 1063560308 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
When was the information regarding Jason Lee Loth most recently updated?
The details pertaining to the Jason Lee Loth, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
NPI Number: 1679570980
Address: 333 S Beaudry Ave, Los Angeles, CA
NPI Number: 1689648701
Address: 100 Bavington Rd, Burgettstown, PA