| Sandra Loftin Md Llc | |
|
4155 E Jewell Ave Ste 1004 Denver CO 80222-4514 | |
| (303) 521-9681 | |
| Not Available |
| Full Name | Sandra Loftin Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4155 E Jewell Ave Ste 1004, Denver, Colorado |
| Authorized Official Name and Position | Sandra Loftin (SOLE OWNER) |
| Authorized Official Contact | 3035219681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Loftin Md Llc 4155 E Jewell Ave Ste 1004 Denver CO 80222-4514 Ph: (303) 521-9681 | Sandra Loftin Md Llc 4155 E Jewell Ave Ste 1004 Denver CO 80222-4514 Ph: (303) 521-9681 |
| NPI Number | 1760138879 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Medicare PECOS PAC ID | 5890189880 |
|---|---|
| Medicare Enrollment ID | O20220309000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760138879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sandra E Loftin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902943277 PECOS PAC ID: 4082714704 Enrollment ID: I20070711000160 |
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