Loth, Elaine

Loth, Elaine is an individual health care provider with primary practice located at 89 W March Ln Ste #1, Stockton CA 95207-5721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Loth, Elaine can be contacted via phone (209) 478-2622.

Contact Information

Primary practice address
89 W March Ln Ste #1 Stockton CA 95207-5721
Phone: (209) 478-2622
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN557498 California

Profile Details

NPI number 1164548103
LBN Legal business name Loth, Elaine
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 19 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 1164548103 NPPES
California Other RN557498 RN LICENSE
California Other NP12548 RN LICENSE

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