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MR. EDWIN INTIG LOON JR.
NPI 1003611633
Licensed Practical Nurse in Detroit, MI

Active since February 18, 2025
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edwin Intig Loon Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDWIN INTIG LOON JR. (NPI 1003611633) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703108591) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1003611633
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. EDWIN INTIG LOON JR.
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address2106 Almont StFerndale, MI 48220-1581 · (248) 554-7106
Phone(313) 576-1000
Sole ProprietorYes
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1003611633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703108591
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4646 JOHN R ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DR. PETER ANTHONY REILLY PHARMD
Pharmacist (Psychiatric)
4646 JOHN R ST, PHARMACY SECTION
DETROIT, MI 48201
Wayne County (313) 576-4635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Loon's NPI number?

The NPI number for Edwin Loon is 1003611633. It was assigned to this individual provider in the NPPES registry on February 18, 2025.

Where is Edwin Loon located?

Edwin Loon practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Edwin Loon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Edwin Loon was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.