Stout, Jimmy Dale

Stout, Jimmy Dale is an sole proprietor health care provider with primary practice located at 8960 N Agate Place , Tucson AZ 85742. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Interpreter, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Stout, Jimmy Dale can be contacted via phone (520) 241-8608.

Contact Information

Primary practice address
8960 N Agate Place Tucson AZ 85742
Phone: (520) 241-8608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Interpreter 171R00000X
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1548303563
LBN Legal business name Stout, Jimmy Dale
Credentials BA CHAPLAIN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jun 20th, 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.

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