Lolis, Tedric

Lolis, Tedric is an individual health care provider with primary practice located at 1008 Tavern Rd Ste 102 , Martinsburg WV 25401-2801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Lolis, Tedric can be contacted via phone (304) 263-5129.

Contact Information

Primary practice address
1008 Tavern Rd Ste 102 Martinsburg WV 25401-2801
Phone: (304) 263-5129
Fax: (304) 263-3726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1114660289
LBN Legal business name Lolis, Tedric
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2022
Last updated Jan 17th, 2023 - about 3 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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