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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902833817 | NPPES |
| Arizona | Other | AP11653 | NURSE PRACTITIONER |
| Arizona | Other | 7353 | NURSE PRACTITIONER |
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