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
Fax: (501) 625-3402
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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