Stout, Daniel Glenn

Stout, Daniel Glenn is an individual health care provider with primary practice located at 2390 W Congress St , Lafayette LA 70506-4205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Stout, Daniel Glenn can be contacted via phone (337) 261-6480.

Contact Information

Primary practice address
2390 W Congress St Lafayette LA 70506-4205
Phone: (337) 261-6480
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD.201440 Louisiana

Profile Details

NPI number 1821288119
LBN Legal business name Stout, Daniel Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Jul 5th, 2023 - about 3 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 1821288119 NPPES
Louisiana MEDICAID 1-50065-8

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