Provider Demographics
NPI:1518139955
Name:STEPHEN F LOUGHLIN PC
Entity Type:Organization
Organization Name:STEPHEN F LOUGHLIN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:LOUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-481-6351
Mailing Address - Street 1:16 WINTER STREET
Mailing Address - Street 2:
Mailing Address - City:SOUTHBORO
Mailing Address - State:MA
Mailing Address - Zip Code:01745
Mailing Address - Country:US
Mailing Address - Phone:508-481-6351
Mailing Address - Fax:508-481-0261
Practice Address - Street 1:16 WINTER STREET
Practice Address - Street 2:
Practice Address - City:SOUTHBORO
Practice Address - State:MA
Practice Address - Zip Code:01745
Practice Address - Country:US
Practice Address - Phone:508-481-6351
Practice Address - Fax:508-481-0261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T19635OtherTUFTS HEALTH PLAN
111147OtherAETNA
V39225OtherBLUE CROSS
351007OtherHARVARD PILGRIM
351007OtherHARVARD PILGRIM
MAV35450Medicare PIN