Provider Demographics
NPI:1831159797
Name:LOSS, BETH ANN (DO)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:LOSS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:LOSS-HIGGINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2471 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4947
Mailing Address - Country:US
Mailing Address - Phone:717-741-3888
Mailing Address - Fax:717-812-5888
Practice Address - Street 1:2471 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4947
Practice Address - Country:US
Practice Address - Phone:717-741-3888
Practice Address - Fax:717-741-3709
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005789L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010615750001Medicaid
PA0010615750001Medicaid
B42141Medicare UPIN