Stout, Elmer Hancock
Stout, Elmer Hancock is an sole proprietor health care provider with primary practice located at 930 W Wilson Ave , Mooresville NC 28117-8811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stout, Elmer Hancock can be contacted via phone (704) 663-7500.Contact Information
Primary practice address
930 W Wilson Ave
Mooresville NC 28117-8811
Phone: (704) 663-7500
Fax: (704) 799-2613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23978 | North Carolina |
Profile Details
| NPI number | 1851370282 |
|---|---|
| LBN Legal business name | Stout, Elmer Hancock |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Apr 9th, 2014 - about 11 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 | 1851370282 | NPPES |
| North Carolina | MEDICAID | 898018 |
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