Provider Demographics
NPI:1053502427
Name:STEPHEN J. LOIHLE
Entity Type:Organization
Organization Name:STEPHEN J. LOIHLE
Other - Org Name:GATEWAY CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:LOIHLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-739-0040
Mailing Address - Street 1:702 N BEERS ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1520
Mailing Address - Country:US
Mailing Address - Phone:732-739-0040
Mailing Address - Fax:732-739-0539
Practice Address - Street 1:702 N BEERS ST
Practice Address - Street 2:SUITE 8
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1520
Practice Address - Country:US
Practice Address - Phone:732-739-0040
Practice Address - Fax:732-739-0539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty