Cassandra Loeffler PLLC

Organization Active NPI Chiropractor · Thomasville, NC

NPI 1528095759 · NPPES record last updated Aug 12, 2010

Key facts

NPI
1528095759
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
2712 (NC)
Legal business name
CASSANDRA LOEFFLER PLLC
Practice address
13 Cloniger Drive
Suite 5
Thomasville, NC 27360
Phone
(336) 476-9600
Fax
(336) 476-9636
NPI assigned
Jun 26, 2006
Organization subpart
No

Authorized official

Name
Dr. Kristan Wayne Jonasson, DC
Title
Agent Chiropractor
Phone
(336) 476-9600

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041029000764 NC Part B Supplier - Clinic/Group Practice 8325000581 Receives reassigned benefits from 1 practitioner
Practice locations: Thomasville, NC

National Provider Directory

Locations

13 Cloniger Dr
Ste 5
Thomasville, NC 27360
Phone (336) 476-9600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 2712 NC Yes

Addresses

Primary practice location

13 Cloniger Drive
Suite 5
Thomasville, NC 27360

Mailing address

PO Box 1184
Thomasville, NC 27361-1184
Phone (336) 476-9600

Other identifiers

IdentifierTypeStateIssuer
0285AOtherNCBLUE CROSS BLUE SHIELD
5903182MedicaidNC

Other names

  • Health One Chiropractic Doing business as

Other providers in Thomasville, NC

All providers in Thomasville, NC · Chiropractor in North Carolina

Sources for this page

Verify at the official NPI Registry.