Tullis, Gene Edward
Tullis, Gene Edward is an individual health care provider with primary practice located at 1801 16Th St , Greeley CO 80631-5154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Tullis, Gene Edward can be contacted via phone (970) 810-2026.Contact Information
Primary practice address
1801 16Th St
Greeley CO 80631-5154
Phone: (970) 810-2026
Fax: (970) 810-2028
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 23142 | Colorado |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 23142 | Colorado |
Profile Details
NPI number | 1366422073 |
---|---|
LBN Legal business name | Tullis, Gene Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 2006 |
Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366422073 | NPPES |
Colorado | MEDICAID | 01231422 | |
Colorado | Other | P00134623 |
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