Provider Demographics
NPI:1891876611
Name:SINCLAIR, JOSEPH JEFFERDS (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JEFFERDS
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 SUMMERS ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1239
Mailing Address - Country:US
Mailing Address - Phone:304-343-3937
Mailing Address - Fax:304-344-3957
Practice Address - Street 1:501 SUMMERS ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1239
Practice Address - Country:US
Practice Address - Phone:304-343-3937
Practice Address - Fax:304-344-3957
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV24250207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1891876611OtherSTRATOSE
WV1891876611OtherHEALTHNET TRICARE
WV1891876611OtherUHC
WV1891876611OtherUMWA
WV1063287OtherCOVENTRY
WV002553368OtherHIGHMARK BCBS
WV1891876611OtherHUMANA
WVA727OtherMEDICARE GROUP NUMBER - WV EYE CONSULTANTS
WV3741518OtherCIGNA
WV7397906OtherAETNA
WV1891876611OtherHEALTHSMART PEIA
WV3810019066Medicaid
WVWV0832A727Medicare PIN
WV1891876611OtherHEALTHSMART PEIA