Stout, Sean Craig
Stout, Sean Craig is an sole proprietor health care provider with primary practice located at 901 N Curtis Rd Ste 100 , Boise ID 83706-1339. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Stout, Sean Craig can be contacted via phone (208) 378-0080.Contact Information
Primary practice address
901 N Curtis Rd Ste 100
Boise ID 83706-1339
Phone: (208) 378-0080
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2017021058 | Missouri |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 2020009905 | Missouri |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | M-16211 | Idaho |
Profile Details
NPI number | 1417488131 |
---|---|
LBN Legal business name | Stout, Sean Craig |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 23rd, 2017 |
Last updated | Mar 27th, 2023 - about 2 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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