St. John, Gregory Allen
St. John, Gregory Allen is an individual health care provider with primary practice located at 130 Medical Park Pl , Hot Springs AR 71901-8051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. St. John, Gregory Allen can be contacted via phone (501) 625-3400.Contact Information
Primary practice address
130 Medical Park Pl
Hot Springs AR 71901-8051
Phone: (501) 625-3400
Fax: (501) 625-3402
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | C-7977 | Arkansas |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | C-7977 | Arkansas |
Profile Details
NPI number | 1124023056 |
---|---|
LBN Legal business name | St. John, Gregory Allen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Jan 27th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124023056 | NPPES |
Arkansas | Other | 5J344 | BCBS OF AR |
Arkansas | Other | 060025716 | BCBS OF AR |
Arkansas | MEDICAID | 124898001 | BCBS OF AR |
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