Provider Demographics
NPI:1699084194
Name:LOEFFLER, DONALD C (DC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:C
Last Name:LOEFFLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 W PARKER RD
Mailing Address - Street 2:STE 505
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2359
Mailing Address - Country:US
Mailing Address - Phone:972-679-0642
Mailing Address - Fax:
Practice Address - Street 1:930 W PARKER RD
Practice Address - Street 2:STE 505
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2359
Practice Address - Country:US
Practice Address - Phone:972-679-0642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7868111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX$$$$$$$$$OtherSOCIAL SECURITY NUMBER