Provider Demographics
NPI:1265585152
Name:LOECHINGER, CAROL MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:MARIE
Last Name:LOECHINGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180A E SPRING VALLEY PIKE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-3803
Mailing Address - Country:US
Mailing Address - Phone:937-434-8700
Mailing Address - Fax:937-434-2957
Practice Address - Street 1:7740 WASHINGTON VILLAGE DR STE 150
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3994
Practice Address - Country:US
Practice Address - Phone:937-434-8700
Practice Address - Fax:937-434-2957
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0331975Medicaid
OH0331975Medicaid
OHT47233Medicare UPIN