Stout, Patrick Earl
Stout, Patrick Earl is an individual health care provider with primary practice located at 310 2Nd Ave Sw Ste. 208, Miami OK 74354-6743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Stout, Patrick Earl can be contacted via phone (918) 540-7870.Contact Information
Primary practice address
310 2Nd Ave Sw Ste. 208
Miami OK 74354-6743
Phone: (918) 540-7870
Fax: (918) 540-7394
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 19779 | Oklahoma |
Profile Details
NPI number | 1366415234 |
---|---|
LBN Legal business name | Stout, Patrick Earl |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2006 |
Last updated | Apr 5th, 2017 - about 7 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 | 1366415234 | NPPES |
Oklahoma | MEDICAID | 200468380S | |
Oklahoma | MEDICAID | 100044840A | |
Oklahoma | MEDICAID | 100270540A | |
Oklahoma | MEDICAID | 208578401 |
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