Larry Jay Loewen in Crystal Falls - Sports Physician
Larry Jay Loewen - NPI 1609095496
Larry Jay Loewen is a Sports Physician in Crystal Falls, Michigan. Larry Jay Loewen practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Larry Jay Loewen is 1609095496. The last update date is 2009-10-27.
Larry Jay Loewen's current location address is 1374 Commercial Ave, Crystal Falls, Michigan. You can contact this provider via phone number 9068753215. The mailing address for Larry Jay Loewen is 1374 Commercial Ave, Crystal Falls, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Jay Loewen |
|---|---|
| Address | 1374 Commercial Ave, Crystal Falls, Michigan |
| Phone Number | 9068753215 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C |
NPI Number Detail
| NPI Number | 1609095496 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2009-10-27 |
Provider Mailing Address Detail
| Address | 1374 Commercial Ave |
|---|---|
| City | Crystal Falls |
| State | Michigan (MI) |
| Post Code | 499201085 |
| Phone Number | 9068753215 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 2301008438 |
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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) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 950D75037 | MI | BLUE CROSS BLUE SHIELD |
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What is the unique identification code assigned to Larry Jay Loewen by the Centers for Medicare & Medicaid Services?
The Larry Jay Loewen has been issued the NPI (National Provider Identifier) 1609095496. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry Jay Loewen's facilities are situated?
The facilities of Larry Jay Loewen are physically located at the following address: 1374 Commercial Ave, Crystal Falls, MI, 499201085.
What is Larry Jay Loewen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry Jay Loewen is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.
On what date did the Larry Jay Loewen receive its 1609095496 assignment from the Centers for Medicare & Medicaid Services?
The Larry Jay Loewen was assigned its 1609095496 by the Centers for Medicare & Medicaid Services on 2007-04-24.
As of what date were the Larry Jay Loewen's details last updated?
The information pertaining to the Larry Jay Loewen, including its address, specialty, and other details, was most recently updated on 2009-10-27.
NPI Number: 1215930573
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