Loth, Jason Lee

Loth, Jason Lee is an individual health care provider with primary practice located at 1425 W Elliot Rd #203, Gilbert AZ 85233-5129. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Loth, Jason Lee can be contacted via phone (480) 812-9000.

Contact Information

Primary practice address
1425 W Elliot Rd #203 Gilbert AZ 85233-5129
Fax: (480) 812-9040
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 5900 Arizona

Profile Details

NPI number 1063560308
LBN Legal business name Loth, Jason Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 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 1063560308 NPPES
Arizona Other 1936614 FIRST HEALTH
Arizona Other 623803 FIRST HEALTH
Arizona Other AZ0938770 FIRST HEALTH
Arizona Other 1Z0112 FIRST HEALTH

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