Paul Jack Utsler is a Driver based in Belleville, IL. Paul Jack Utsler practices in Belleville, IL. The NPI Number for Paul Jack Utsler is 1760112387 and holds a License No. (Illinois).
The current practice location address for Paul Jack Utsler is 5 Commodore Dr, Belleville, IL and can be reached out via phone at 331-214-2559.
Location: 5 Commodore Dr, Belleville, IL, 62223-2101
Provider Profile Details
NPI Number
1760112387
Provider Name
Paul Jack Utsler
Credential
Provider Entity Type
Individual
Gender
Male
Address
5 Commodore Dr, Belleville, IL, 62223-2101
Phone Number
331-214-2559
Fax Number
Provider Enumeration Date
06/15/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3927 | 01 | NEMT |
Provider Business Practice Location Address Details
Address
5 Commodore Dr
City
State
Zip
62223-2101
Phone Number
331-214-2559
Fax Number
Provider Business Mailing Address Details
Address
5 Commodore Dr
City
State
Zip
62223-2101
Phone Number
331-214-2559
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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