Stout, Jerry Lee

Stout, Jerry Lee is an sole proprietor health care provider with primary practice located at 7379 W North Ave , River Forest IL 60305-1230. He recently has only one registered license in Suppliers / Customized Equipment, which is considered as his primary health care specialty. Stout, Jerry Lee can be contacted via phone (708) 771-4528.

Contact Information

Primary practice address
7379 W North Ave River Forest IL 60305-1230
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1598878837
LBN Legal business name Stout, Jerry Lee
Credentials OST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 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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