Provider Demographics
NPI:1982769097
Name:ORLOFSKE, TERRENCE (PA-C)
Entity Type:Individual
Prefix:
First Name:TERRENCE
Middle Name:
Last Name:ORLOFSKE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MEDICAL PARK
Mailing Address - Street 2:SUITE 303
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-242-0779
Mailing Address - Fax:303-243-0653
Practice Address - Street 1:40 MEDICAL PARK
Practice Address - Street 2:SUITE 303
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003
Practice Address - Country:US
Practice Address - Phone:304-242-0779
Practice Address - Fax:303-243-0653
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV592363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0167496Medicaid