Provider Demographics
NPI:1437450277
Name:JOHN T SINCLAIR
Entity Type:Organization
Organization Name:JOHN T SINCLAIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL SLEEP MEDICINE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-445-7791
Mailing Address - Street 1:207 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-4725
Mailing Address - Country:US
Mailing Address - Phone:413-445-7791
Mailing Address - Fax:413-445-7532
Practice Address - Street 1:207 1ST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4725
Practice Address - Country:US
Practice Address - Phone:413-445-7791
Practice Address - Fax:413-445-7532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX05689OtherBLUE CROSS BLUE SHEILD