Utter, Philip Andrew
Utter, Philip Andrew is an individual health care provider with primary practice located at 1500 Line Avenue Ste 200, Shreveport LA 71101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Utter, Philip Andrew can be contacted via phone (318) 629-5555.Contact Information
Primary practice address
1500 Line Avenue Ste 200
Shreveport LA 71101
Phone: (318) 629-5555
Fax: (318) 629-5556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 44123 | Minnesota |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 91820 | Ohio |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 202784 | Louisiana |
Profile Details
| NPI number | 1073585477 |
|---|---|
| LBN Legal business name | Utter, Philip Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Sep 1st, 2009 - about 17 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 | 1073585477 | NPPES |
| Minnesota | MEDICAID | 200821100 |
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