Dwight St Clair Do Pa
LBN: Dwight St Clair Do Pa
Dwight St Clair Do Pa is an health care organization with primary practice located at 1148 S Hillside St Suite 104, Wichita KS 67211-4005. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty.
Dwight St Clair Do Pa can be contacted via phone (316) 687-0006, or through St Clair, Dwight S via phone (316) 687-0006.
Contact Information
Primary practice address
1148 S Hillside St Suite 104
Wichita KS 67211-4005
Phone: (316) 687-0006
Fax: (316) 687-0328
Website:
Authorized official contact:
Name: St Clair, Dwight S Doctor of Osteopathy (DO)
Phone: (316) 687-0006
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 05-24105 | Kansas |
Profile Details
NPI number | 1225396443 |
---|---|
LBN Legal business name | Dwight St Clair Do Pa |
DBA Doing business as | |
Authorized official | St Clair, Dwight S Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 25th, 2012 |
Last updated | Apr 25th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225396443 | NPPES |
Kansas | MEDICAID | 100232310B |
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