Dr. Jason Lee Loth
Chiropractic Sports Physician
1425 W Elliot Rd #203
Gilbert
, Arizona 85233-5129
Dr. Jason Lee Loth
Chiropractic Sports Physician
1425 W Elliot Rd #203
Gilbert
, Arizona 85233-5129
(480) 812-9040
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Jason Lee Loth
- 1425 W Elliot Rd #203
- Gilbert, AZ
- Zip : 85233-5129
- Fax : (480) 812-9040
- Phone : (480) 812-9000
Second Address
- Dr. Jason Lee Loth
- 1425 W Elliot Rd #203
- Gilbert, AZ
- Zip : 85233-5129
- Fax : (480) 812-9040
- Phone : (480) 812-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 5900 | AZ |
National Provider Identifier
| NPI | 1063560308 |
|---|---|
| Provider Name | Dr. Jason Lee Loth |
| First Address | Gilbert, AZ 85233-5129 |
| Second Address | Gilbert, AZ 85233-5129 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1936614 | FIRST HEALTH (01) | AZ |
| 1Z0112 | HEALTHNET (01) | AZ |
| 623803 | ACN (01) | AZ |
| AZ0938770 | BCBS (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.