Outland, James David

Outland, James David is an sole proprietor health care provider with primary practice located at 300 S 8Th St Suite 405, Murray KY 42071-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Outland, James David can be contacted via phone (270) 759-4500.

Contact Information

Primary practice address
300 S 8Th St Suite 405 Murray KY 42071-2400
Fax: (270) 761-1879
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34234 Kentucky

Profile Details

NPI number 1922006295
LBN Legal business name Outland, James David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Oct 19th, 2011 - about 15 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 1922006295 NPPES
Kentucky MEDICAID 64032352

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