Provider Demographics
NPI:1033252655
Name:LOUGHRAN, THOMAS DALTON II (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:DALTON
Last Name:LOUGHRAN
Suffix:II
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 1:32 TERBAR LOOP
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-4026
Mailing Address - Country:US
Mailing Address - Phone:845-883-5579
Mailing Address - Fax:
Practice Address - Street 1:32 TERBAR LOOP
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-4026
Practice Address - Country:US
Practice Address - Phone:845-883-5579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010042111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX3Y341Medicare ID - Type Unspecified
NYU84548Medicare UPIN