Stout, John Patrick

Stout, John Patrick is an individual health care provider with primary practice located at 1400 E Boulder St Laboratory, Memorial Hospital, Colorado Springs CO 80909-5533. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stout, John Patrick can be contacted via phone (719) 365-5808.

Contact Information

Primary practice address
1400 E Boulder St Laboratory, Memorial Hospital Colorado Springs CO 80909-5533
Phone: (719) 365-5808
Fax: (719) 365-6908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X CO29669 Colorado

Profile Details

NPI number 1518982552
LBN Legal business name Stout, John Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 11th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518982552 NPPES
Colorado MEDICAID 01296698

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