Mr John W Loosle, MSW is a
Marriage & Family Therapist based in Page, Arizona. Mr John W Loosle is licensed to practice in Utah (license number 113433-3902) and his current practice location is
819 No. Navajo Dr., Suite # 4, Page, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 645-2744.
NPI number for Mr John W Loosle is 1922157270 and his current mailing address is P.o. Box 822, Page, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922157270.
Healthcare Provider's Profile
| Full Name | Mr John W Loosle |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
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| Location | 819 No. Navajo Dr., Page, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922157270
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr John W Loosle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922157270 | NPI | - | NPPES |
| 797095 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-11712 (Arizona) | Primary |
| 1041C0700X | Social Worker - Clinical | LCSE-2819 (Arizona) | Primary |
| 1041C0700X | Social Worker - Clinical | 113433-3501 (Utah) | Primary |
| 106H00000X | Marriage & Family Therapist | 113433-3902 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John W Loosle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr John W Loosle, MSW
P.o. Box 822,
Page, AZ 86040
Ph: (928) 645-2744 | Mr John W Loosle, MSW
819 No. Navajo Dr., Suite # 4,
Page, AZ 86040
Ph: (928) 645-2744 |
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