Provider Demographics
NPI:1992049985
Name:LOERCH, SHOSHANA S (DC)
Entity type:Individual
Prefix:DR
First Name:SHOSHANA
Middle Name:S
Last Name:LOERCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7664 BROADVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-6746
Mailing Address - Country:US
Mailing Address - Phone:440-840-7419
Mailing Address - Fax:216-520-6885
Practice Address - Street 1:7664 BROADVIEW RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-6746
Practice Address - Country:US
Practice Address - Phone:440-840-7419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH04981111NS0005X
VA0104557026111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician