Lollis, Patrick G
Lollis, Patrick G is an individual health care provider with primary practice located at 700 Brushy Creek Rd , Easley SC 29642-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lollis, Patrick G can be contacted via phone (864) 306-9661.Contact Information
Primary practice address
700 Brushy Creek Rd
Easley SC 29642-2200
Phone: (864) 306-9661
Fax: (864) 306-8560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19121 | South Carolina |
Profile Details
| NPI number | 1033173778 |
|---|---|
| LBN Legal business name | Lollis, Patrick G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Oct 18th, 2007 - about 18 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 | 1033173778 | NPPES |
| South Carolina | MEDICAID | 191214 | |
| South Carolina | Other | 080173717 |
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