Provider Demographics
NPI:1538223201
Name:LOYD, PHILIP L (DC)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:L
Last Name:LOYD
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 1:607 W BATTLEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-4123
Mailing Address - Country:US
Mailing Address - Phone:417-869-2000
Mailing Address - Fax:417-889-4755
Practice Address - Street 1:607 W BATTLEFIELD ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-4123
Practice Address - Country:US
Practice Address - Phone:417-869-2000
Practice Address - Fax:417-889-4755
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO352220932OtherTAX ID
MOU33919Medicare UPIN
MO352220932OtherTAX ID