Stout, David

Stout, David is an individual health care provider with primary practice located at 221 W 8Th St , Lorain OH 44052-1817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stout, David can be contacted via phone (440) 245-4480.

Contact Information

Primary practice address
221 W 8Th St Lorain OH 44052-1817
Phone: (440) 245-4480
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35061326 Ohio

Profile Details

NPI number 1992797005
LBN Legal business name Stout, David
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992797005 NPPES
Ohio MEDICAID 882620

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