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JOSEPH F. LOOBY D.O. P.C. NPI 1902057805


NPI Information

NPI: 1902057805
Provider Name: JOSEPH F. LOOBY, D.O., P.C.
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
2540 WOODMEADOW DR SE
SUITE 102
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 942-2675
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JOSEPH F. LOOBY, D.O., P.C. is a plastic and reconstructive surgery surgery in Grand Rapids, MI. The provider is a surgeon who specializes in plastic and reconstructive surgery. JOSEPH F. LOOBY, D.O., P.C. NPI is 1902057805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2540 WOODMEADOW DR SE
SUITE 102
GRAND RAPIDS, MI
ZIP 49546-050
Phone: (616) 942-2675
Fax: (616) 942-2596

The provider's authorized official is Joseph Francis Looby .
The authorized official title is Owner and has the following contact phone number (616) 942-2675.

The enumeration date for this NPI number is 10/9/2008 and was last updated on 10/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H 52190MEDICARE UPINMICHIGAN
24653892MEDICAIDMICHIGAN
3OPO360MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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