Provider Demographics
NPI:1376570135
Name:LOEHR, ANDREW J (PA-C)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:LOEHR
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:2727 W 2ND ST
Mailing Address - Street 2:SUITE 340
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-4684
Mailing Address - Country:US
Mailing Address - Phone:402-463-1250
Mailing Address - Fax:402-463-1461
Practice Address - Street 1:2727 W 2ND ST
Practice Address - Street 2:SUITE 340
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-4684
Practice Address - Country:US
Practice Address - Phone:402-463-1250
Practice Address - Fax:402-463-1461
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2008-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE925363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant