Stout, Amanda

Stout, Amanda is an individual health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stout, Amanda can be contacted via phone (616) 455-5000.

Contact Information

Primary practice address
300 68Th St Se Grand Rapids MI 49548-6927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 4704274564 Michigan

Profile Details

NPI number 1790278935
LBN Legal business name Stout, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated Jun 12th, 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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