Utter, Ross G

Utter, Ross G is an individual health care provider with primary practice located at 134 Grandview Ave , Waterbury CT 06708-2507. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Utter, Ross G can be contacted via phone (203) 756-8911.

Contact Information

Primary practice address
134 Grandview Ave Waterbury CT 06708-2507
Phone: (203) 756-8911
Fax: (203) 574-0548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001124 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001124 Connecticut

Profile Details

NPI number 1831156249
LBN Legal business name Utter, Ross G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jan 30th, 2008 - about 18 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 1831156249 NPPES
Other 51124 AIM
Other 711609 AIM
Other OR0365 AIM
Other 290001124CT02 AIM
Other A437740 AIM

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