Provider Demographics
NPI:1164307963
Name:LOCH, CHRISTOPHER PERRY (ACNPC-AG)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:PERRY
Last Name:LOCH
Suffix:
Gender:M
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 S DETROIT ST
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-5571
Mailing Address - Country:US
Mailing Address - Phone:937-554-5579
Mailing Address - Fax:
Practice Address - Street 1:551 S DETROIT ST
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-5571
Practice Address - Country:US
Practice Address - Phone:937-554-5579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.419328363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care