Stout, Jonathan Bruce
Stout, Jonathan Bruce is an individual health care provider with primary practice located at 1488 Oak St , Eugene OR 97401-4043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stout, Jonathan Bruce can be contacted via phone (541) 431-0000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD15846 | Oregon |
Profile Details
| NPI number | 1700882560 |
|---|---|
| LBN Legal business name | Stout, Jonathan Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jan 19th, 2011 - about 13 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 | 1700882560 | NPPES |
| Oregon | MEDICAID | 027565 |
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