Lo, Theodore C
Lo, Theodore C is an individual health care provider with primary practice located at 900 W Clairemont Ave , Eau Claire WI 54701-6122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Lo, Theodore C can be contacted via phone (715) 717-4121.Contact Information
Primary practice address
900 W Clairemont Ave
Eau Claire WI 54701-6122
Phone: (715) 717-4121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 38023 | Massachusetts |
Profile Details
| NPI number | 1821154261 |
|---|---|
| LBN Legal business name | Lo, Theodore C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Aug 10th, 2018 - about 7 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821154261 | NPPES |
| Massachusetts | MEDICAID | 6167241 |
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