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:
Map and Directions
Authorized official contact:
Name: St Clair, Dwight S Doctor of Osteopathy (DO)
Phone: (316) 687-0006

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225396443 NPPES
Kansas MEDICAID 100232310B

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