NPI 1164700415 MARK E LOISELLE CST ACWORTH GA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mark E Loiselle - NPI: 1164700415

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MARK E LOISELLE
NPI Number: 1164700415
Entity Type Code: Individual (1)
Gender: M
Credentials: CST
License Number:
Business Practice Address: 2780 Still Lake Dr
Acworth, GA - 301021183
Business Phone Number: 7703610034
Business Fax Number:
Mailing Address: 2780 Still Lake Dr,
ACWORTH
State: GA
Postal Code: 301021183
Phone Number: 7703610034
Fax Number:
NPI Enumeration Date: 08/03/2011
NPI Last Update Date: 08/03/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 246ZS0410X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type:
Taxonomy Classification:
Taxonomy Specialization:
Taxonomy Definition:


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