Provider Demographics
NPI:1972545382
Name:STOUT, JOYCE E (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:E
Last Name:STOUT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:116 E FRONT ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAUREL
Mailing Address - State:DE
Mailing Address - Zip Code:19956-1722
Mailing Address - Country:US
Mailing Address - Phone:302-875-8595
Mailing Address - Fax:302-875-4133
Practice Address - Street 1:116 E FRONT ST
Practice Address - Street 2:SUITE C
Practice Address - City:LAUREL
Practice Address - State:DE
Practice Address - Zip Code:19956-1722
Practice Address - Country:US
Practice Address - Phone:302-875-8595
Practice Address - Fax:302-875-4133
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC10005625207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEH01040Medicare UPIN