Putalik, Gregory C
Putalik, Gregory C is an sole proprietor health care provider with primary practice located at 643 E Lake St #4, Harbor Springs MI 49740-1239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Putalik, Gregory C can be contacted via phone (231) 242-4734.Contact Information
Primary practice address
643 E Lake St #4
Harbor Springs MI 49740-1239
Phone: (231) 242-4734
Fax: (231) 242-4700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301050511 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 50511 | Michigan |
Profile Details
| NPI number | 1679782841 |
|---|---|
| LBN Legal business name | Putalik, Gregory C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Aug 15th, 2012 - about 13 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 | 1679782841 | NPPES |
| Michigan | MEDICAID | 4081535 |
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