Stout, Ronald J

Stout, Ronald J is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 236, Coeur D Alene ID 83814-4484. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stout, Ronald J can be contacted via phone (208) 765-1345.

Contact Information

Primary practice address
700 W Ironwood Dr Ste 236 Coeur D Alene ID 83814-4484
Phone: (208) 765-1345
Fax: (208) 667-9622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X M4778 Idaho

Profile Details

NPI number 1699771451
LBN Legal business name Stout, Ronald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
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 1699771451 NPPES
Washington MEDICAID 1010222
Washington MEDICAID 0083147

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