Lo, Eddie P

Lo, Eddie P is an sole proprietor health care provider with primary practice located at 2302 S Union Ave Ste B18 , Tacoma WA 98405-1333. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Lo, Eddie P can be contacted via phone (253) 572-4848.

Contact Information

Primary practice address
2302 S Union Ave Ste B18 Tacoma WA 98405-1333
Fax: (253) 572-1803
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO00000633 Washington

Profile Details

NPI number 1902847551
LBN Legal business name Lo, Eddie P
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Mar 25th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902847551 NPPES
Washington MEDICAID 1106012
Washington MEDICAID 8473167
Washington Other LO2467
Washington Other P00434092
Washington Other 215606

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