Stout, Allen E

Stout, Allen E is an sole proprietor health care provider with primary practice located at 5130 Hwy 95 , Fort Mohave AZ 86426. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Stout, Allen E can be contacted via phone (928) 768-2811.

Contact Information

Primary practice address
5130 Hwy 95 Fort Mohave AZ 86426
Phone: (928) 768-2811
Fax: (928) 768-9787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP11653 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X AP11653 Arizona

Profile Details

NPI number 1902833817
LBN Legal business name Stout, Allen E
Credentials DC, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Apr 19th, 2024 - about 7 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902833817 NPPES
Arizona Other AP11653 NURSE PRACTITIONER
Arizona Other 7353 NURSE PRACTITIONER

Popular Providers