Loftus, Kenneth Alan
Loftus, Kenneth Alan is an individual health care provider with primary practice located at 450 Siskiyou Blvd Ste 2, Ashland OR 97520-5107. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Loftus, Kenneth Alan can be contacted via phone (541) 482-3873.Contact Information
Primary practice address
450 Siskiyou Blvd Ste 2
Ashland OR 97520-5107
Phone: (541) 482-3873
Fax: (541) 482-9115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2634ATI | Oregon |
Profile Details
| NPI number | 1659378677 |
|---|---|
| LBN Legal business name | Loftus, Kenneth Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Apr 12th, 2010 - about 15 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 | 1659378677 | NPPES |
| Oregon | MEDICAID | 298558 |
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