Loer, Jack Evans
Loer, Jack Evans is an sole proprietor health care provider with primary practice located at 9412 Indian School Rd Ne , Albuquerque NM 87112-2878. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Loer, Jack Evans can be contacted via phone (505) 553-5887.Contact Information
Primary practice address
9412 Indian School Rd Ne
Albuquerque NM 87112-2878
Phone: (505) 553-5887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 5579 | New Mexico |
Profile Details
| NPI number | 1700073319 |
|---|---|
| LBN Legal business name | Loer, Jack Evans |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2007 |
| Last updated | Sep 27th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700073319 | NPPES |
| New Mexico | Other | 5579 | LMT LICENSE NUMBER |
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