Tinnes, Garry D

Tinnes, Garry D is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tinnes, Garry D can be contacted via phone (812) 355-3299.

Contact Information

Primary practice address
550 S Landmark Ave Bloomington IN 47403-3239
Fax: (812) 355-3290
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01043109A Indiana

Profile Details

NPI number 1386649465
LBN Legal business name Tinnes, Garry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Dec 23rd, 2020 - about 4 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 1386649465 NPPES
Indiana MEDICAID 200469400

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