Mrs. Cynthia Lynn Utley-Breneman
Podiatrist
720 S 6th St
Monticello
, Indiana 47960-8182
Mrs. Cynthia Lynn Utley-Breneman
Podiatrist
720 S 6th St
Monticello
, Indiana 47960-8182
(765) 296-9842
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Mrs. Cynthia Lynn Utley-Breneman
- Po Box 5134
- Lafayette, IN
- Zip : 47903-5134
- Fax : (765) 296-9842
- Phone : (765) 426-1766
Second Address
- Mrs. Cynthia Lynn Utley-Breneman
- 720 S 6th St
- Monticello, IN
- Zip : 47960-8182
- Fax : (765) 296-9842
- Phone : (765) 296-9842
Reviews
FAQs
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Is Mrs. Cynthia Lynn Utley-Breneman a sole practitioner?
Is Mrs. Cynthia Lynn Utley-Breneman accepting new patients?
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Does Mrs. Cynthia Lynn Utley-Breneman have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 07000682A | IN |
| Y | 222Z00000X | Podiatrist | 07000682A | IN |
National Provider Identifier
| NPI | 1063552495 |
|---|---|
| Provider Name | Mrs. Cynthia Lynn Utley-Breneman |
| First Address | Lafayette, IN 47903-5134 |
| Second Address | Monticello, IN 47960-8182 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2007 |
| Last Update Date | 25/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100129410A | (05) | IN |
| 407560A | MEDICARE PTAN (01) | IN |
| T39151 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.