Lo, Conrad Calvin
Lo, Conrad Calvin is an individual health care provider with primary practice located at 324 Roxbury Rd , Rockford IL 61107-5090. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Lo, Conrad Calvin can be contacted via phone (815) 398-9491.Contact Information
Primary practice address
324 Roxbury Rd
Rockford IL 61107-5090
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110007542 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085-002461 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA6897 | Massachusetts |
Profile Details
| NPI number | 1881701365 |
|---|---|
| LBN Legal business name | Lo, Conrad Calvin |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jan 11th, 2024 - about 2 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.
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