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Jack Leroy Stclair

Family Doctor - Adult Medicine

14540 Mono Way
Sonora , California 95370-8858

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Image

Jack Leroy Stclair

Family Doctor - Adult Medicine

14540 Mono Way
Sonora , California 95370-8858

Write a Review Save Call

Jack Leroy Stclair

Family Doctor - Adult Medicine

14540 Mono Way
Sonora , California 95370-8858

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Adult Medicine

Languages spoken

  • English

Location

14540 Mono Way Sonora , California 95370-8858

First Address

  • Jack Leroy Stclair
  • Po Box 4264
  • Sonora, CA
  • Zip : 95370-4264
  • Phone :

Second Address

  • Jack Leroy Stclair
  • 14540 Mono Way
  • Sonora, CA
  • Zip : 95370-8858
  • Fax : (209) 928-5615
  • Phone : (209) 743-7084

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FAQs


Where did Jack Leroy Stclair attend graduate school?

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Where did Jack Leroy Stclair do his residency?

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Where did Jack Leroy Stclair do his fellowship?

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Is Jack Leroy Stclair board certified?

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What type of doctor is Jack Leroy Stclair

Family Doctor - Adult Medicine

In what state does Jack Leroy Stclair practice in?

California

Where is Jack Leroy Stclair ’s practice located?

14540 Mono Way , Sonora, California, 95370-8858

What is Jack Leroy Stclair ’s gender?

Male

Is Jack Leroy Stclair a sole practitioner?

No

Is Jack Leroy Stclair accepting new patients?

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What languages does Jack Leroy Stclair speak?

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Does Jack Leroy Stclair accept insurance?

Yes, Jack Leroy Stclair accepts insurance

Does Jack Leroy Stclair offers telemedicine?

Jack Leroy Stclair has not indicated if he offers telemedicine

What is Jack Leroy Stclair ’s professional license number?

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What is Jack Leroy Stclair ’s NPI number?

1184681298

Does Jack Leroy Stclair have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207QA0505X Family Doctor - Adult Medicine A76427 CA

National Provider Identifier

NPI 1184681298
Provider Name Jack Leroy Stclair
First Address Sonora, CA 95370-4264
Second Address Sonora, CA 95370-8858
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 01/05/2006
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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