Utley, William Richard

Utley, William Richard is an individual health care provider with primary practice located at 855 A Ave Ne Ste 300, Cedar Rapids IA 52402-5057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Utley, William Richard can be contacted via phone (319) 368-9300.

Contact Information

Primary practice address
855 A Ave Ne Ste 300 Cedar Rapids IA 52402-5057
Fax: (319) 368-5690
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036108990 Illinois

Profile Details

NPI number 1699768838
LBN Legal business name Utley, William Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 15th, 2012 - about 14 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 1699768838 NPPES
Illinois MEDICAID 036108990

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