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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1366415234 NPPES
Oklahoma MEDICAID 200468380S
Oklahoma MEDICAID 100044840A
Oklahoma MEDICAID 100270540A
Oklahoma MEDICAID 208578401

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