Loosle, John W.

Loosle, John W. is an sole proprietor health care provider with primary practice located at 819 No. Navajo Dr. Suite # 4, Page AZ 86040. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Loosle, John W. can be contacted via phone (928) 645-2744.

Contact Information

Primary practice address
819 No. Navajo Dr. Suite # 4 Page AZ 86040
Phone: (928) 645-2744
Fax: (928) 645-2745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-11712 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSE-2819 Arizona
Behavioral Health & Social Service Providers / Clinical 1041C0700X 113433-3501 Utah
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 113433-3902 Utah

Profile Details

NPI number 1922157270
LBN Legal business name Loosle, John W.
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 9th, 2007 - about 17 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 1922157270 NPPES
Arizona MEDICAID 797095

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