Healthcare Provider Details

I. General information

NPI: 1770707051
Provider Name (Legal Business Name): NED J. LOONEY NMD, R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 04/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6265 NE RISING SUN DR
PLEASANT HILL IA
50327-2159
US

IV. Provider business mailing address

6265 NE RISING SUN DR
PLEASANT HILL IA
50327-2159
US

V. Phone/Fax

Practice location:
  • Phone: 515-468-7041
  • Fax:
Mailing address:
  • Phone: 515-468-7041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15194
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: