Stout, Jenny Louise
Stout, Jenny Louise is an sole proprietor health care provider with primary practice located at 809 Jamesway Dr , Watertown WI 53098-1701. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Stout, Jenny Louise can be contacted via phone (920) 988-3061.Contact Information
Primary practice address
809 Jamesway Dr
Watertown WI 53098-1701
Phone: (920) 988-3061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1292-154 | Wisconsin |
Profile Details
| NPI number | 1194990523 |
|---|---|
| LBN Legal business name | Stout, Jenny Louise |
| Credentials | MS, CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2008 |
| Last updated | Apr 27th, 2008 - about 18 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 | 1194990523 | NPPES |
| Wisconsin | MEDICAID | 42744100 |
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