Provider Demographics
NPI:1861001224
Name:LOEHR MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:LOEHR MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOEHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-887-8075
Mailing Address - Street 1:2144 E REPUBLIC RD
Mailing Address - Street 2:SUITE A-104
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804
Mailing Address - Country:US
Mailing Address - Phone:417-887-8075
Mailing Address - Fax:417-887-8535
Practice Address - Street 1:2144 E REPUBLIC RD
Practice Address - Street 2:SUITE A-104
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804
Practice Address - Country:US
Practice Address - Phone:417-887-8075
Practice Address - Fax:417-887-8535
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOEHR HEALTHCARE ENTERPRISES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty