Provider Demographics
NPI:1609936608
Name:LOSH, TROY JAY (DC)
Entity type:Individual
Prefix:DR
First Name:TROY
Middle Name:JAY
Last Name:LOSH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 E PLAZA LN
Mailing Address - Street 2:
Mailing Address - City:MULVANE
Mailing Address - State:KS
Mailing Address - Zip Code:67110-1495
Mailing Address - Country:US
Mailing Address - Phone:620-803-2211
Mailing Address - Fax:
Practice Address - Street 1:109 E PLAZA LN
Practice Address - Street 2:
Practice Address - City:MULVANE
Practice Address - State:KS
Practice Address - Zip Code:67110-1495
Practice Address - Country:US
Practice Address - Phone:620-803-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05076111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition