St Clair, Stephen R

St Clair, Stephen R is an individual health care provider with primary practice located at 41 Wahconah St , Pittsfield MA 01201-2627. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. St Clair, Stephen R can be contacted via phone (413) 447-2375.

Contact Information

Primary practice address
41 Wahconah St Pittsfield MA 01201-2627
Phone: (413) 447-2375
Fax: (413) 553-6769
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 58449 Massachusetts

Profile Details

NPI number 1265401822
LBN Legal business name St Clair, Stephen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 29th, 2020 - about 4 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 1265401822 NPPES
Vermont MEDICAID 0VN0611
Vermont MEDICAID 0004424
Vermont MEDICAID 3106161
Vermont MEDICAID 9717633

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