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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1073585477 NPPES
Minnesota MEDICAID 200821100

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