Stutts, John Thomas

Stutts, John Thomas is an individual health care provider with primary practice located at 411 E Chestnut St # 5B , Louisville KY 40202-1713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Stutts, John Thomas can be contacted via phone (502) 588-2330.

Contact Information

Primary practice address
411 E Chestnut St # 5B Louisville KY 40202-1713
Fax: (502) 588-9513
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 36091 Kentucky

Profile Details

NPI number 1386628824
LBN Legal business name Stutts, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Oct 27th, 2020 - about 4 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 1386628824 NPPES
Indiana MEDICAID 200275430
Indiana MEDICAID 64022395

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