Stout, David C

Stout, David C is an individual health care provider with primary practice located at 4 Pebble Crk , Hattiesburg MS 39402-8370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Stout, David C can be contacted via phone (601) 261-9323.

Contact Information

Primary practice address
4 Pebble Crk Hattiesburg MS 39402-8370
Phone: (601) 261-9323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 14328 Mississippi

Profile Details

NPI number 1396854899
LBN Legal business name Stout, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Oct 21st, 2021 - about 3 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 1396854899 NPPES
Mississippi MEDICAID 00115125
Mississippi Other 130011551
Mississippi Other 640507572AV

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