Provider Demographics
NPI:1033846951
Name:GARCIA LOYOLA, JOSE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:GARCIA LOYOLA
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 1:2006 NEW GARDEN RD STE 204
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2568
Mailing Address - Country:US
Mailing Address - Phone:336-545-3132
Mailing Address - Fax:336-545-0571
Practice Address - Street 1:3008 S CHURCH ST STE A
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5686
Practice Address - Country:US
Practice Address - Phone:336-584-9932
Practice Address - Fax:336-545-0571
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5523OtherLICENSE NUMBER