Sutliff, Gary

Sutliff, Gary is an individual health care provider with primary practice located at 1320 W Main St , Newark OH 43055-1822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Sutliff, Gary can be contacted via phone (220) 564-4144.

Contact Information

Primary practice address
1320 W Main St Newark OH 43055-1822
Phone: (220) 564-4144
Fax: (220) 564-4145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35071249 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35071249 Ohio

Profile Details

NPI number 1699755603
LBN Legal business name Sutliff, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Dec 15th, 2022 - about 2 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 1699755603 NPPES
Ohio MEDICAID 2060755

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