Sutliff, Gregory M

Sutliff, Gregory M is an individual health care provider with primary practice located at 811 W 2Nd St , Bloomington IN 47403-2212. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sutliff, Gregory M can be contacted via phone (812) 333-4001.

Contact Information

Primary practice address
811 W 2Nd St Bloomington IN 47403-2212
Phone: (812) 333-4001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01044377A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01044377A Indiana

Profile Details

NPI number 1831194604
LBN Legal business name Sutliff, Gregory M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Dec 18th, 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 1831194604 NPPES
Indiana MEDICAID 200060830

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