Provider Demographics
NPI:1487711255
Name:LOOMIS, SARAH J (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:J
Last Name:LOOMIS
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 1:306 W SAINT LOUIS ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-4406
Mailing Address - Country:US
Mailing Address - Phone:501-609-0575
Mailing Address - Fax:501-262-9677
Practice Address - Street 1:306 W SAINT LOUIS ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4406
Practice Address - Country:US
Practice Address - Phone:501-609-0575
Practice Address - Fax:501-262-9677
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1341111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR59873OtherBLUE CROSS BLUE SHIELD
AR59873OtherBLUE CROSS BLUE SHIELD