MEDICARE: DR. JANE E LOITMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	2001016352	MO
2	208VP0000X	Pain Medicine Physician	200106352	MO
3	2084H0002X	Hospice and Palliative Medicine (Psychiatry & Neurology) Physician	200106352	MO

General Provider Information

NPI Number	:	1396855326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE E LOITMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 8373
Second Line	:
City	:	ST LOUIS
State	:	MO
Zip	:	63132
Country	:	US
Telephone Number	:	314-546-6401
Fax Number	:	314-446-0624

Provider Business Practice Location Address
First Line	:	8044 MANCHESTER RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144
Country	:	US
Telephone Number	:	314-546-6401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/28/2020

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Directions to “ DR. JANE E LOITMAN MD” Practice Location

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