Dwight St Clair in Wichita - Psychiatry

Dwight St Clair - NPI 1437175254

Dwight St Clair is a Psychiatry in Wichita, Kansas. Dwight St Clair practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Dwight St Clair is 1437175254. The last update date is 2011-10-17.

Dwight St Clair's current location address is 1148 South Hillside, Wichita, Kansas. You can contact this provider via phone number 3166870006 and fax number 3166870328. The mailing address for Dwight St Clair is 1148 South Hillside, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Dwight St Clair
Address 1148 South Hillside, Wichita, Kansas
Phone Number 3166870006
Fax Number 3166870328
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1437175254
Provider Enumeration Date 2006-07-14
Last Updated Date 2011-10-17

Provider Mailing Address Detail

Address 1148 South Hillside
City Wichita
State Kansas (KS)
Post Code 672114005
Phone Number 3166870006
Fax Number 3166870328

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 524105
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
260026318 KS RR MEDICARE
47687 KS BLUE CROSS BLUE SHIELD
100232310B KS --

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FAQs about Dwight St Clair

What is the unique identifier code issued to Dwight St Clair by the Centers for Medicare & Medicaid Services?

The Dwight St Clair has been assigned the NPI (National Provider Identifier) 1437175254. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Dwight St Clair is located?

The Dwight St Clair is situated at the following address: 1148 South Hillside, Wichita, KS, 672114005.

What is the Dwight St Clair's specialty and taxonomy code?

The Dwight St Clair's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.

On what date did the Dwight St Clair receive the assignment of its 1437175254 from the Centers for Medicare & Medicaid Services?

The Dwight St Clair was issued its 1437175254 by the Centers for Medicare & Medicaid Services on 2006-07-14.

As of what date was the information regarding Dwight St Clair, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dwight St Clair, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-17.

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