Stout, Jacob
Stout, Jacob is an individual health care provider with primary practice located at 2472 S 300 E , South Salt Lake UT 84115-2895. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stout, Jacob can be contacted via phone (801) 783-5011.Contact Information
Primary practice address
2472 S 300 E
South Salt Lake UT 84115-2895
Phone: (801) 783-5011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 13593511-1206 | Utah |
Profile Details
| NPI number | 1952037939 |
|---|---|
| LBN Legal business name | Stout, Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2022 |
| Last updated | Nov 1st, 2023 - about last year |
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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