St Clair, Jesse W

St Clair, Jesse W is an individual health care provider with primary practice located at 1708 Old Donation Parkway , Virginia Beach VA 23454-3064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. St Clair, Jesse W can be contacted via phone (757) 395-5300.

Contact Information

Primary practice address
1708 Old Donation Parkway Virginia Beach VA 23454-3064
Phone: (757) 395-5300
Fax: (757) 213-9341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101032201 Virginia

Profile Details

NPI number 1477502250
LBN Legal business name St Clair, Jesse W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 1st, 2016 - about 10 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 1477502250 NPPES
Virginia Other PAR MULTIPLAN
Virginia Other PAR MULTIPLAN
Virginia MEDICAID 1477502250 MULTIPLAN
Virginia Other 259556 MULTIPLAN
Virginia Other PAR MULTIPLAN
Virginia MEDICAID 890555R MULTIPLAN
Virginia Other PAR MULTIPLAN
Virginia Other PAR MULTIPLAN
Virginia Other -001 MULTIPLAN
Virginia Other 35080 MULTIPLAN
Virginia Other PAR MULTIPLAN
Virginia Other PAR MULTIPLAN
Virginia Other 428960 MULTIPLAN
Virginia Other 10015738 MULTIPLAN
Virginia MEDICAID 006055486 MULTIPLAN
Virginia Other 0555R MULTIPLAN
Virginia Other 248020 MULTIPLAN
Virginia Other PAR MULTIPLAN

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