Stout, Brian Thomas
Stout, Brian Thomas is an individual health care provider with primary practice located at 5000 Hennessy Blvd , Baton Rouge LA 70808-4375. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Stout, Brian Thomas can be contacted via phone (225) 765-8853.Contact Information
Primary practice address
5000 Hennessy Blvd
Baton Rouge LA 70808-4375
Phone: (225) 765-8853
Fax: (225) 765-1700
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 236034 | New York |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.203274 | Louisiana |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD.203274 | Louisiana |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 236034 | New York |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME125826 | Florida |
Profile Details
NPI number | 1689632739 |
---|---|
LBN Legal business name | Stout, Brian Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2006 |
Last updated | Feb 8th, 2024 - about last year |
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 | 1689632739 | NPPES |
Louisiana | MEDICAID | 1802875 | |
Louisiana | MEDICAID | 03386886 | |
Louisiana | MEDICAID | 02647703 |
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