Fred R Loertscher DC PS

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CH00000853 Issued in WA

Legal business name

FRED R LOERTSCHER DC PS

Doing business as

Loertscher Chiropractic Clinic

Practice address

1310 Simpson Ave
Aberdeen, WA 98520-4704

Phone

(360) 532-6545

Fax

(360) 532-6549

NPI assigned

Jul 22, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fred Rudolph Loertscher, D.C.NPI 1144371782

Title

President

Phone

(360) 532-6545

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Loertscher Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Rudolph Loertscher, D.C.

  • Occupational Health Chiropractor
  • Aberdeen, WA
  • NPI 1144371782
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1194725986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SIMPSON AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204704",
            "telephone_number": "360-532-6545",
            "fax_number": "360-532-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SIMPSON AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204704",
            "telephone_number": "360-532-6545",
            "fax_number": "360-532-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED R LOERTSCHER DC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "LOERTSCHER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-532-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "WA",
            "license": "CH00000853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE INSURANCE CO",
            "identifier": "LO 0307",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2555803",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "13278",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loertscher Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Fox
• Judith Lynne Fraley, LPN
• June Edith Francis
• Robin A. Franciscovich, MD
• Amanda Leona Franklin
• Elissa Freudenberg, PA-C
• Alyssa Dyan Fuehrer, PA-C
• Susan C Gallegos, CDP
• Phillip D Gamroth, COTA
• Erica Garcia

• Neurology Chiropractor in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Neurology Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.