Provider Demographics
NPI:1528479672
Name:LOVE, PATRICK (ND)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:LOVE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 S ALTAMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4234
Mailing Address - Country:US
Mailing Address - Phone:509-951-3661
Mailing Address - Fax:
Practice Address - Street 1:1125 S ALTAMONT BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-4234
Practice Address - Country:US
Practice Address - Phone:509-951-3661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60466206175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath