Stout, Alicia

Stout, Alicia is an sole proprietor health care provider with primary practice located at 5445 W Southport Rd , Indianapolis IN 46221-9699. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Stout, Alicia can be contacted via phone (317) 778-6955.

Contact Information

Primary practice address
5445 W Southport Rd Indianapolis IN 46221-9699
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1710471503
LBN Legal business name Stout, Alicia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2018
Last updated Jun 15th, 2018 - about 7 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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