Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | C10005581 | DE |
NPI | 1619069598 |
---|---|
Provider Name | Dr. John M. Loiselle |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 29/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10105358 | (05) | VA |
1167592 | (05) | LA |
1295921 | (05) | PA |
1372256 | (05) | NY |
5234026 | (05) | MD |
5319307 | (05) | NJ |
7612856 | (05) | NC |
F40197 | (02) | |
MD887DE | (05) | AK |