Provider Demographics
NPI:1366116980
Name:LOEHR HEALTH CENTER BOLIVAR LLC
Entity type:Organization
Organization Name:LOEHR HEALTH CENTER BOLIVAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOEHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:417-887-8075
Mailing Address - Street 1:2520 S SPRINGFIELD AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BOLIVAR
Mailing Address - State:MO
Mailing Address - Zip Code:65613-4501
Mailing Address - Country:US
Mailing Address - Phone:417-887-8075
Mailing Address - Fax:417-887-8535
Practice Address - Street 1:2520 S SPRINGFIELD AVE STE A
Practice Address - Street 2:
Practice Address - City:BOLIVAR
Practice Address - State:MO
Practice Address - Zip Code:65613-4501
Practice Address - Country:US
Practice Address - Phone:417-887-8075
Practice Address - Fax:417-887-8535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty