Stout, Derek

Stout, Derek is an individual health care provider with primary practice located at 1000 Health Center Dr , Mattoon IL 61938-9261. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Stout, Derek can be contacted via phone (217) 258-2551.

Contact Information

Primary practice address
1000 Health Center Dr Mattoon IL 61938-9261
Phone: (217) 258-2551
Fax: (217) 258-2256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-107399 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-107399 Illinois

Profile Details

NPI number 1548376213
LBN Legal business name Stout, Derek
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jan 8th, 2019 - about 5 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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