Stout, Desiree C

Stout, Desiree C is an individual health care provider with primary practice located at 7223 Mississippi Ave. , Fort Polk LA 71459. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Dental Assistant is her primary health care specialty. Stout, Desiree C can be contacted via phone (337) 531-2603.

Contact Information

Primary practice address
7223 Mississippi Ave. Fort Polk LA 71459
Phone: (337) 531-2603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1215622642
LBN Legal business name Stout, Desiree C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2023
Last updated Apr 11th, 2023 - about 2 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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