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Contact Information

CHARLES M CLAIR JR, MD
1071 RENEE AVE
POCATELLO, ID83201-2508
 Phone: 208-252-5602
 Fax: 208-269-7094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for CHARLES M CLAIR JR · (Male)

NPI # 1003012204
Status Active
Credentials MD
Entity Individual
Enumeration date 06/25/2007
Last updated 05/26/2017 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M-10525
  • Other 11479847 AAMC ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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