Sung, Robert

Sung, Robert is an individual health care provider with primary practice located at 421 W 1St St , Bloomington IN 47403-2403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sung, Robert can be contacted via phone (812) 332-3531.

Contact Information

Primary practice address
421 W 1St St Bloomington IN 47403-2403
Fax: (812) 332-4673
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01073690A Indiana

Profile Details

NPI number 1518122050
LBN Legal business name Sung, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated Feb 24th, 2016 - about 8 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 1518122050 NPPES
Indiana MEDICAID 201248560

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