Stout, Gregory M
Stout, Gregory M is an individual health care provider with primary practice located at 1200 S Cedar Crest Blvd. 3Rd Floor Anderson Wing, Allentown PA 18105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Stout, Gregory M can be contacted via phone (610) 402-5369.Contact Information
Primary practice address
1200 S Cedar Crest Blvd. 3Rd Floor Anderson Wing
Allentown PA 18105
Phone: (610) 402-5369
Fax: (610) 402-5959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS012250 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OS012250 | Pennsylvania |
Profile Details
| NPI number | 1396795399 |
|---|---|
| LBN Legal business name | Stout, Gregory M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Feb 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396795399 | NPPES |
| Pennsylvania | Other | P00165766 | PALMETTO GBA MEDICARE |
| Pennsylvania | Other | 50044398 | PALMETTO GBA MEDICARE |
| Pennsylvania | Other | 1619023 | PALMETTO GBA MEDICARE |
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