Stout, Charles William
Stout, Charles William is an individual health care provider with primary practice located at 3670 Parker Blvd Suite 101, Pueblo CO 81008-2285. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Stout, Charles William can be contacted via phone (719) 564-1544.Contact Information
Primary practice address
3670 Parker Blvd Suite 101
Pueblo CO 81008-2285
Phone: (719) 564-1544
Fax: (719) 924-1593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 33411 | Arizona |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 33411 | Arizona |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 48744 | Colorado |
Profile Details
| NPI number | 1497756597 |
|---|---|
| LBN Legal business name | Stout, Charles William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Feb 28th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497756597 | NPPES |
| Colorado | Other | P00997270 | RAILROAD MEDICARE |
| Colorado | MEDICAID | 01180773 | RAILROAD MEDICARE |
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