John T St. Clair JR.
Gynecologist
800 S Church St Suite 302
Jonesboro
, Arkansas 72401-4176
John T St. Clair JR.
Gynecologist
800 S Church St Suite 302
Jonesboro
, Arkansas 72401-4176
(870) 935-0871
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- John T St. Clair JR.
- 800 S Church St Suite 302
- Jonesboro, AR
- Zip : 72401-4176
- Fax : (870) 935-0871
- Phone : (870) 935-3990
Second Address
- John T St. Clair JR.
- 800 S Church St Suite 302
- Jonesboro, AR
- Zip : 72401-4176
- Fax : (870) 935-0871
- Phone : (870) 935-3990
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Is John T St. Clair JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | R1950 | AR |
National Provider Identifier
| NPI | 1093786170 |
|---|---|
| Provider Name | John T St. Clair JR. |
| First Address | Jonesboro, AR 72401-4176 |
| Second Address | Jonesboro, AR 72401-4176 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2006 |
| Last Update Date | 12/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 101682001 | (05) | AR |
| 12874000040 | QUALCHOICE (01) | AR |
| 160027630 | MEDICARE RAILROAD CARRIER (01) | AR |
| 3831645 | CIGNA (01) | |
| 54635 | BLUE CROSS (01) | AR |
| 770138701 | EDS BREASTCARE (01) | AR |
| AS0140129 | HUMANA TRICARE (01) | |
| E34360 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.