Stout, Timothy Mark
Stout, Timothy Mark is an individual health care provider with primary practice located at 320 Cheshire Dr , Knoxville TN 37919-5813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Stout, Timothy Mark can be contacted via phone (800) 500-4667.Contact Information
Primary practice address
320 Cheshire Dr
Knoxville TN 37919-5813
Phone: (800) 500-4667
Fax: (833) 448-2982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD108395 | Missouri |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0429147 | Kansas |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 04-29147 | Kansas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD68554 | Tennessee |
Profile Details
| NPI number | 1316930688 |
|---|---|
| LBN Legal business name | Stout, Timothy Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | May 15th, 2024 - about 4 months 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 | 1316930688 | NPPES |
| Other | 180041348 | RAILROAD MEDICARE | |
| Other | 180041349 | RAILROAD MEDICARE |
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