Edward J. Loftus Ma LLP
Community/Behavioral Health in Manistee, MI. Organization (NPI-2).
NPI number1457861908
StatusActive
Last updated in NPPESOct 10, 2017
Details
- NPI
- 1457861908
- Entity type
- Organization (NPI-2)
- Legal business name
- Edward J. Loftus Ma LLP
- Organization subpart
- No
- Enumeration date
- Oct 10, 2017
- Last updated
- Oct 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 6301006424 | MI | Yes |
Practice location
50 Filer St Ste 210eManistee, MI 49660-2787
Phone 231-398-0934
Mailing address
50 Filer St Ste 210eManistee, MI 49660-2787
Authorized official
Edward Joseph Loftus
Psychologist Limited License
2313980349
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