Stoutenger, Wayne A

Stoutenger, Wayne A is an sole proprietor health care provider with primary practice located at 105 Jennie Dr , Yorktown VA 23692-4001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stoutenger, Wayne A can be contacted via phone (757) 817-4667.

Contact Information

Primary practice address
105 Jennie Dr Yorktown VA 23692-4001
Phone: (757) 817-4667
Fax: (800) 655-5268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101050796 Virginia

Profile Details

NPI number 1619178274
LBN Legal business name Stoutenger, Wayne A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Sep 30th, 2011 - about 15 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 1619178274 NPPES
Virginia Other A102018 PTAN
Virginia Other 0101050796 PTAN
Virginia Other 1619178274 PTAN

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