Provider Demographics
NPI:1740168756
Name:MCLOCHLIN, JAMES TODD
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:TODD
Last Name:MCLOCHLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15007 HIMEBAUGH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-4387
Mailing Address - Country:US
Mailing Address - Phone:402-676-2217
Mailing Address - Fax:
Practice Address - Street 1:15007 HIMEBAUGH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-4387
Practice Address - Country:US
Practice Address - Phone:402-676-2217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion