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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740225770 NPPES
West Virginia MEDICAID 1809684000

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