Segrist, Karen Lordo
Segrist, Karen Lordo is an sole proprietor health care provider with primary practice located at 1310 Dadrian Professional Park , Godfrey IL 62035-1685. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Segrist, Karen Lordo can be contacted via phone (618) 433-5005.Contact Information
Primary practice address
1310 Dadrian Professional Park
Godfrey IL 62035-1685
Phone: (618) 433-5005
Fax: (618) 467-1053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036059505 | Illinois |
Profile Details
| NPI number | 1528045663 |
|---|---|
| LBN Legal business name | Segrist, Karen Lordo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jun 4th, 2010 - about 16 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 | 1528045663 | NPPES |
| Illinois | MEDICAID | 036059505 | |
| Illinois | Other | P00072982 |
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