Provider Demographics
NPI:1568844033
Name:LOSCHEN, JAMIE G (AUD)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:G
Last Name:LOSCHEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 VANCE DR STE 225
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2133
Mailing Address - Country:US
Mailing Address - Phone:303-431-8881
Mailing Address - Fax:303-456-8924
Practice Address - Street 1:7850 VANCE DR STE 225
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2133
Practice Address - Country:US
Practice Address - Phone:303-431-8881
Practice Address - Fax:303-456-8924
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1070231H00000X
CO906237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110105823AMedicaid
MAS400233436Medicare PIN