NPI 1629317078
Jonathan W Loosle
Practice location
- Address
- 1472 E Iron Eagle Dr, Eagle, ID 83616-6598
- Phone
- (208) 577-1188
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1629317078
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Feb 2013
- Record last updated
- 5 Feb 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.