Provider Demographics
NPI:1356788020
Name:O'LOUGHLIN, MARK FRANCIS (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:FRANCIS
Last Name:O'LOUGHLIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 HARRISON AVE.
Mailing Address - Street 2:2ND FL.
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405
Mailing Address - Country:US
Mailing Address - Phone:561-379-2441
Mailing Address - Fax:
Practice Address - Street 1:52 HARRISON AVE
Practice Address - Street 2:2ND FL.
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-3672
Practice Address - Country:US
Practice Address - Phone:561-379-2441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001941111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor