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1154508984 NPI number — JODY ST.CLAIR PA-C

NPI Number: 1154508984
Health Care Provider/Practitioner: JODY ST.CLAIR PA-C

Information about “1154508984” NPI (JODY ST.CLAIR PA-C) exists in 1154508984 in HTML format HTML  |  1154508984 in plain Text format TXT  |  1154508984 in PDF (Portable Document Format) PDF  |  1154508984 in an XML format XML  formats.

NPI Number : 1154508984 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154508984",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ST.CLAIR",
    "FirstName": "JODY",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "817 PRINCETON AVE SW",
    "SecondLineMailingAddress": "POB II, SUITE 306",
    "MailingAddressCityName": "BIRMINGHAM",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35211-1333",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-939-3514",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "817 PRINCETON AVE SW",
    "SecondLinePracticeLocationAddress": "POB II STE. 306",
    "PracticeLocationAddressCityName": "BIRMINGHAM",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35211-1333",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-783-0160",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/23/2008",
    "LastUpdateDate": "05/07/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AS0400X",
        "TaxonomyName": "Surgical Physician Assistant",
        "LicenseNumber": "PA-566",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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