Stout, Randall C

Stout, Randall C is an individual health care provider with primary practice located at 3600 Capital Ave Sw Ste 203, Battle Creek MI 49015-9393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stout, Randall C can be contacted via phone (269) 979-6383.

Contact Information

Primary practice address
3600 Capital Ave Sw Ste 203 Battle Creek MI 49015-9393
Phone: (269) 979-6383
Fax: (269) 979-6381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X RS045322 Michigan

Profile Details

NPI number 1295890317
LBN Legal business name Stout, Randall C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 9th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295890317 NPPES
Michigan MEDICAID 3158180
Michigan Other RS048655
Michigan MEDICAID 383224959100
Michigan Other 0831634

Popular Providers