Stout, Gregory W

Stout, Gregory W is an individual health care provider with primary practice located at 225 Walker Rd , Chambersburg PA 17201-9798. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stout, Gregory W can be contacted via phone (717) 264-2011.

Contact Information

Primary practice address
225 Walker Rd Chambersburg PA 17201-9798
Fax: (717) 264-0169
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS22182 Maryland

Profile Details

NPI number 1447287750
LBN Legal business name Stout, Gregory W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1447287750 NPPES
Pennsylvania Other 141448 CHAMBG - UNITED CONC
Pennsylvania Other 1768456 CHAMBG - UNITED CONC
Pennsylvania Other 1768458 CHAMBG - UNITED CONC

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