Provider Demographics
NPI:1457421489
Name:LOEFFLER, CURTIS RAMON (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:RAMON
Last Name:LOEFFLER
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 1:912 E ACACIA AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4526
Mailing Address - Country:US
Mailing Address - Phone:951-378-9131
Mailing Address - Fax:951-652-6164
Practice Address - Street 1:912 E ACACIA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4526
Practice Address - Country:US
Practice Address - Phone:951-378-9131
Practice Address - Fax:951-652-6164
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16701111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0167010Medicare ID - Type Unspecified