Foutch, Daniel Thomas

Foutch, Daniel Thomas is an sole proprietor health care provider with primary practice located at 328 N Neil St Ste C , Champaign IL 61820-3614. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Foutch, Daniel Thomas can be contacted via phone (217) 377-0299.

Contact Information

Primary practice address
328 N Neil St Ste C Champaign IL 61820-3614
Phone: (217) 377-0299
Fax: (217) 492-8588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209023867 Illinois

Profile Details

NPI number 1669149134
LBN Legal business name Foutch, Daniel Thomas
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2021
Last updated Mar 21st, 2025 - about last year

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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