Loch, Jeremiah L

Loch, Jeremiah L is an individual health care provider with primary practice located at 1 Kish Hospital Dr , Dekalb IL 60115. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Loch, Jeremiah L can be contacted via phone (815) 756-1521.

Contact Information

Primary practice address
1 Kish Hospital Dr Dekalb IL 60115
Phone: (815) 756-1521
Fax: (815) 748-8395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 209.000126 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 041.128750 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 209-000126 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 041-128750 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041128750 Illinois

Profile Details

NPI number 1518969526
LBN Legal business name Loch, Jeremiah L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Aug 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518969526 NPPES
Illinois MEDICAID 332364034001

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