Provider Demographics
NPI:1447499066
Name:LOFTIN, MARTIN FRANKLIN JR (D,C,)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:FRANKLIN
Last Name:LOFTIN
Suffix:JR
Gender:M
Credentials:D,C,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 SYCAMORE VALLEY RD W
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3947
Mailing Address - Country:US
Mailing Address - Phone:925-837-5595
Mailing Address - Fax:925-837-6558
Practice Address - Street 1:205 SYCAMORE VALLEY RD W
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3947
Practice Address - Country:US
Practice Address - Phone:925-837-5595
Practice Address - Fax:925-837-6558
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor