William John Stout in Rockford - Physician Assistant
William John Stout - NPI 1245263268
William John Stout is a Physician Assistant in Rockford, Illinois. William John Stout practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William John Stout is 1245263268. The last update date is 2014-07-24.
William John Stout's current location address is 1401 E State Street, Rockford, Illinois. You can contact this provider via phone number 8159684400. The mailing address for William John Stout is 1401 E State Street, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | William John Stout |
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Address | 1401 E State Street, Rockford, Illinois |
Phone Number | 8159684400 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1245263268 |
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Provider Enumeration Date | 2006-07-10 |
Last Updated Date | 2014-07-24 |
Provider Mailing Address Detail
Address | 1401 E State Street |
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City | Rockford |
State | Illinois (IL) |
Post Code | 61104 |
Phone Number | 8159684400 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 50.003286 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to William John Stout by the Centers for Medicare & Medicaid Services?
The William John Stout has been issued the NPI (National Provider Identifier) 1245263268. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the William John Stout located?
The William John Stout is located at 1401 E State Street, Rockford, IL 61104.
What is William John Stout's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for William John Stout is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the William John Stout receive its 1245263268 assignment from the Centers for Medicare & Medicaid Services?
The William John Stout was assigned its 1245263268 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date was the information pertaining to William John Stout, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to William John Stout, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-24.
NPI Number: 1194728337
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