Stoutamire, Barney Daniel

Stoutamire, Barney Daniel is an individual health care provider with primary practice located at 1210 W 18Th St Ste Ll03, Sioux Falls SD 57104-4647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Stoutamire, Barney Daniel can be contacted via phone (605) 328-1410.

Contact Information

Primary practice address
1210 W 18Th St Ste Ll03 Sioux Falls SD 57104-4647
Phone: (605) 328-1410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 201000986 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301085978 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 8399 South Dakota

Profile Details

NPI number 1619198801
LBN Legal business name Stoutamire, Barney Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jun 5th, 2012 - about 14 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 1619198801 NPPES
North Carolina Other 158TR BCBS NC STATE
North Carolina Other 2076199 BCBS NC STATE
North Carolina MEDICAID 5915655 BCBS NC STATE
North Carolina Other 02898 BCBS NC STATE
North Carolina Other 158TR BCBS NC STATE

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