Utley, Dianna Jessica

Utley, Dianna Jessica is an individual health care provider with primary practice located at 5905 O St , Lincoln NE 68510-2235. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Utley, Dianna Jessica can be contacted via phone (402) 436-1905.

Contact Information

Primary practice address
5905 O St Lincoln NE 68510-2235
Fax:
Website:

Health care specialties

Profile Details

NPI number 1558009340
LBN Legal business name Utley, Dianna Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2022
Last updated May 23rd, 2022 - 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 1558009340 NPPES
Nebraska MEDICAID 476003955

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