Tracy, Lloyd
Tracy, Lloyd is an individual health care provider with primary practice located at 510 Butler Ave , Martinsburg WV 25405-9990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tracy, Lloyd can be contacted via phone (304) 263-0811.Contact Information
Primary practice address
510 Butler Ave
Martinsburg WV 25405-9990
Phone: (304) 263-0811
Fax: (304) 264-3967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21279 | West Virginia |
Profile Details
| NPI number | 1740225770 |
|---|---|
| LBN Legal business name | Tracy, Lloyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | May 2nd, 2019 - about 6 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 | 1740225770 | NPPES |
| West Virginia | MEDICAID | 1809684000 |
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