Strout, Stephen Lewis
Strout, Stephen Lewis is an sole proprietor health care provider with primary practice located at 1301 Plantation Island Dr S Ste 204 , St Augustine FL 32080-3111. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Strout, Stephen Lewis can be contacted via phone (904) 794-1824.Contact Information
Primary practice address
1301 Plantation Island Dr S Ste 204
St Augustine FL 32080-3111
Phone: (904) 794-1824
Fax: (904) 794-4584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN15749 | Florida |
Profile Details
| NPI number | 1225046691 |
|---|---|
| LBN Legal business name | Strout, Stephen Lewis |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225046691 | NPPES |
| Florida | Other | DN15749 | STATE LICENSE |
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