Utter, Frederick S

Utter, Frederick S is an individual health care provider with primary practice located at 1900 Denver Ave , El Paso TX 79902-3008. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Utter, Frederick S can be contacted via phone (915) 577-0111.

Contact Information

Primary practice address
1900 Denver Ave El Paso TX 79902-3008
Phone: (915) 577-0111
Fax: (915) 533-2568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA00801 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 04035 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP102926 Texas

Profile Details

NPI number 1306845508
LBN Legal business name Utter, Frederick S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 16th, 2022 - about 3 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 1306845508 NPPES
Texas MEDICAID 126119009
Texas MEDICAID 00091755
Texas Other 040435

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