Stout Wellness Center

LBN: Revolutionary Services Llc
Stout Wellness Center is an health care organization with primary practice located at 5130 Hwy 95 , Fort Mohave AZ 86426-9374. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Revolutionary Services Llc can be contacted via phone (928) 768-2811, or through Stout, Allen Earl via phone (928) 768-2811.

Contact Information

Primary practice address
5130 Hwy 95 Fort Mohave AZ 86426-9374
Phone: (928) 768-2811
Fax: (928) 768-9787
Website:
Map and Directions
Authorized official contact:
Name: Stout, Allen Earl D.C. F.N.P.-C
Phone: (928) 768-2811

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 7353 Arizona
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1598092082
LBN Legal business name Revolutionary Services Llc
DBA Doing business as Stout Wellness Center
Authorized official Stout, Allen Earl D.C. F.N.P.-C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2009
Last updated Mar 1st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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