Toothman, Gregory R.

Toothman, Gregory R. is an individual health care provider with primary practice located at 4015 Gateway Blvd , Newburgh IN 47630-8925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Toothman, Gregory R. can be contacted via phone (812) 858-9400.

Contact Information

Primary practice address
4015 Gateway Blvd Newburgh IN 47630-8925
Phone: (812) 858-9400
Fax: (812) 858-9571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01047543A Indiana

Profile Details

NPI number 1538162920
LBN Legal business name Toothman, Gregory R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 12th, 2013 - about 12 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 1538162920 NPPES
Indiana Other 000000190630 BCBS PIN
Indiana MEDICAID 200042740 BCBS PIN

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