Utlak, David J.

Utlak, David J. is an individual health care provider with primary practice located at 4825 Higbee Ave Nw Ste 102 , Canton OH 44718-2567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Utlak, David J. can be contacted via phone (330) 492-2102.

Contact Information

Primary practice address
4825 Higbee Ave Nw Ste 102 Canton OH 44718-2567
Phone: (330) 492-2102
Fax: (330) 492-1025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35 -043878 Ohio

Profile Details

NPI number 1548269756
LBN Legal business name Utlak, David J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 29th, 2023 - about last year

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 1548269756 NPPES
Ohio MEDICAID 0534952

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