Stout, Alyssa
Stout, Alyssa is an sole proprietor health care provider with primary practice located at 4300 University Pkwy , Evans GA 30809-3063. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Stout, Alyssa can be contacted via phone (706) 721-8623.Contact Information
Primary practice address
4300 University Pkwy
Evans GA 30809-3063
Phone: (706) 721-8623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT003333 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2626 | Minnesota |
Profile Details
| NPI number | 1699122119 |
|---|---|
| LBN Legal business name | Stout, Alyssa |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2016 |
| Last updated | Mar 25th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699122119 | NPPES |
| Georgia | Other | AT003333 | ATHLETIC TRAINER LICENSE |
Popular Providers
-
Hand, Brett Allen
32 E Main St , Marshalltown IA 50158-4903 -
Zawadzki, Amy
133 N River St , Wilkes-Barre PA 18711 -
Ford, Sarah G
13575 Heathcote Blvd , Gainesville VA 20155-6660 -
Scibilia, Gerard Joseph
910 Frederick Rd , Catonsville MD 21228-4516 -
Flack, Beth Anne
4246 Washington Rd Ste 6 , Evans GA 30809-3345 -
Lawrance, Scott E
1400 E Hanna Ave , Indianapolis IN 46227-3630 -
Zuerlein, Austin Brian
16792 Talisman Ln Apt. 104, Huntington Beach CA 92649-3136 -
Holton, Lawson
303 Bellhaven Dr , Evans GA 30809-7468