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
Phone: (570) 271-6012
Fax: (570) 271-9723
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447208459 | NPPES |
| Pennsylvania | MEDICAID | 0011660020001 |
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