Stouter, Gina G

Stouter, Gina G is an individual health care provider with primary practice located at 1500 Route 88 , Brick NJ 08724-2320. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Stouter, Gina G can be contacted via phone (732) 785-1900.

Contact Information

Primary practice address
1500 Route 88 Brick NJ 08724-2320
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 37AC00411300 New Jersey

Profile Details

NPI number 1841776176
LBN Legal business name Stouter, Gina G
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2018
Last updated Jul 19th, 2018 - about 8 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 1841776176 NPPES
New Jersey MEDICAID 0029807

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