Michael Loustalet, DC
Individual provider Active NPI Chiropractor · Cottonwood, CA
NPI 1376525949 · NPPES record last updated Nov 16, 2017
Key facts
- NPI
- 1376525949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 19658 (CA)
- Practice address
- 20633 Gas Point Rd
Cottonwood, CA 96022-9296 - Phone
- (530) 347-6407
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 19658 | CA | Yes |
Addresses
Primary practice location
20633 Gas Point Rd
Cottonwood, CA 96022-9296
Mailing address
PO Box 457
Cottonwood, CA 96022-0457
Phone (530) 347-6407
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0196580 | Other | BLUE SHIELD INDV |
Other providers in Cottonwood, CA
- Lena Bharat Jesrani
- Gregory R Kusic
- Lassen Medical Group Inc
- Elyssa Lynn Lawson
- Myers Lor
- Rebecca Constance Mandeville
- Sarah Jean McCutcheon
- Emily McMillen
- Joshua Monks
- Angelyn Parayno Nepacena
All providers in Cottonwood, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.