St Clair, Samuel K

St Clair, Samuel K is an individual health care provider with primary practice located at 4207 Lake Boone Trl Ste 220 , Raleigh NC 27607-6685. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. St Clair, Samuel K can be contacted via phone (919) 784-1410.

Contact Information

Primary practice address
4207 Lake Boone Trl Ste 220 Raleigh NC 27607-6685
Phone: (919) 784-1410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 39097 North Carolina

Profile Details

NPI number 1073588000
LBN Legal business name St Clair, Samuel K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 9th, 2019 - about 6 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 1073588000 NPPES
North Carolina Other 56219447701 TRICARE
North Carolina MEDICAID 8979535 TRICARE
North Carolina Other 97486 TRICARE
North Carolina Other 706943 TRICARE
North Carolina Other 79535 TRICARE
North Carolina Other 2070150 TRICARE
North Carolina Other 0650385 TRICARE
North Carolina Other 4063806 TRICARE
North Carolina Other 140006908 TRICARE

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