Loes, Michael W.

Loes, Michael W. is an sole proprietor health care provider with primary practice located at 11047 N 19Th Ave , Phoenix AZ 85029-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Loes, Michael W. can be contacted via phone (602) 944-2222.

Contact Information

Primary practice address
11047 N 19Th Ave Phoenix AZ 85029-4816
Fax: (602) 331-2499
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD11336 Arizona
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 11336 Arizona

Profile Details

NPI number 1033247630
LBN Legal business name Loes, Michael W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Feb 17th, 2012 - about 12 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 1033247630 NPPES
Arizona Other AZ0397010 BLUE CROSS BLUE SHIELD
Arizona Other 188372200 BLUE CROSS BLUE SHIELD
Arizona Other 25492002 BLUE CROSS BLUE SHIELD

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