Stout, Farrah Dane

Stout, Farrah Dane is an individual health care provider with primary practice located at 498 Industrial Dr , Bristol TN 37620. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Stout, Farrah Dane can be contacted via phone (423) 878-1600.

Contact Information

Primary practice address
498 Industrial Dr Bristol TN 37620
Phone: (423) 878-1600
Fax: (423) 878-1606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1770607558
LBN Legal business name Stout, Farrah Dane
Credentials BS QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 18 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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