Loitz, Greg A
Loitz, Greg A is an sole proprietor health care provider with primary practice located at 33 Palma Ave , La Selva Beach CA 95076-1729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Loitz, Greg A can be contacted via phone (831) 566-1112.Contact Information
Primary practice address
33 Palma Ave
La Selva Beach CA 95076-1729
Phone: (831) 566-1112
Fax: (833) 233-3943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | G52694 | California |
Profile Details
| NPI number | 1194803247 |
|---|---|
| LBN Legal business name | Loitz, Greg A |
| Credentials | MD DDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jan 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194803247 | NPPES |
| California | Other | G52694 | MEDICAL BOARD OF CALIF |
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