Provider Demographics
NPI:1992732358
Name:LOEHRER, DOUGLAS CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:CHRISTOPHER
Last Name:LOEHRER
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 1:6400 SUNRISE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-5998
Mailing Address - Country:US
Mailing Address - Phone:916-727-6400
Mailing Address - Fax:916-727-3292
Practice Address - Street 1:6400 SUNRISE BLVD STE A
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-5998
Practice Address - Country:US
Practice Address - Phone:916-727-6400
Practice Address - Fax:916-727-3292
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU26221Medicare UPIN
CADC0262210Medicare ID - Type Unspecified