Shields, Maricarmen Stout
Shields, Maricarmen Stout is an individual health care provider with primary practice located at 1205 Se Professional Mall Blvd Ste 104 , Pullman WA 99163-5423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shields, Maricarmen Stout can be contacted via phone (509) 332-2605.Contact Information
Primary practice address
1205 Se Professional Mall Blvd Ste 104
Pullman WA 99163-5423
Phone: (509) 332-2605
Fax: (509) 334-5754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60853005 | Washington |
Profile Details
| NPI number | 1831585538 |
|---|---|
| LBN Legal business name | Shields, Maricarmen Stout |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2015 |
| Last updated | Oct 30th, 2018 - about 8 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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