Stayer, Glenn A.

Stayer, Glenn A. is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Stayer, Glenn A. can be contacted via phone (570) 271-6012.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-1405
Fax: (570) 271-9723
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD038769E Pennsylvania
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X MD038769E Pennsylvania

Profile Details

NPI number 1447208459
LBN Legal business name Stayer, Glenn A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Aug 12th, 2020 - about 4 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 1447208459 NPPES
Pennsylvania MEDICAID 0011660020001

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