Stoutin, Sherry D

Stoutin, Sherry D is an individual health care provider with primary practice located at 2315 8Th St , Lewiston ID 83501-7301. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Stoutin, Sherry D can be contacted via phone (208) 746-1383.

Contact Information

Primary practice address
2315 8Th St Lewiston ID 83501-7301
Fax: (208) 298-4521
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X M5696 Idaho
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00040032 Washington

Profile Details

NPI number 1184707903
LBN Legal business name Stoutin, Sherry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 9th, 2007 - about 19 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 1184707903 NPPES
Washington Other 69378 WA LABOR & INDUSTRIES
Washington MEDICAID 8118655 WA LABOR & INDUSTRIES

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