Stouse, David Frank
Stouse, David Frank is an individual health care provider with primary practice located at 1907 W Sycamore St , Kokomo IN 46904-9010. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stouse, David Frank can be contacted via phone (765) 456-5900.Contact Information
Primary practice address
1907 W Sycamore St
Kokomo IN 46904-9010
Phone: (765) 456-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87000615A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34002664A | Indiana |
Profile Details
| NPI number | 1407862576 |
|---|---|
| LBN Legal business name | Stouse, David Frank |
| Credentials | MA, LCSW, MAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Apr 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407862576 | NPPES |
| Indiana | Other | 6227695 | UBH ID NUMBER |
| Indiana | Other | STOUS-0001 | UBH ID NUMBER |
| Indiana | Other | 083845-000 | UBH ID NUMBER |
| Indiana | Other | 11347605 | UBH ID NUMBER |
| Indiana | Other | 2200696 | UBH ID NUMBER |
| Indiana | Other | 000000343506 | UBH ID NUMBER |
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