Stout, Thomas A

Stout, Thomas A is an individual health care provider with primary practice located at 3000 Hampton Ctr Ste A, Morgantown WV 26505-1708. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Stout, Thomas A can be contacted via phone (304) 598-2020.

Contact Information

Primary practice address
3000 Hampton Ctr Ste A Morgantown WV 26505-1708
Phone: (304) 598-2020
Fax: (304) 598-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X WV 719 OD West Virginia

Profile Details

NPI number 1336144294
LBN Legal business name Stout, Thomas A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 2nd, 2011 - about 14 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 1336144294 NPPES
West Virginia Other 244618 MAMSI
West Virginia MEDICAID 0150667000 MAMSI
West Virginia Other 410000097 MAMSI

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