GILLIGAN NUTRITION COUNSELING LLC


Address: 10104 Conway Rd, Saint Louis, MO 63124-1240
Phone: 3145370932

GILLIGAN NUTRITION COUNSELING LLC (NPI# 1366089443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366089443
Entity Type Organization
Organization Name GILLIGAN NUTRITION COUNSELING LLC
Practice Address 10104 Conway Rd
Saint Louis
MO 63124-1240
Practice Telephone 3145370932
Mailing Telephone 3145370932
Enumeration Date 2019-12-08
Last Update Date 2019-12-08
Authorized Official Name MR. JAMES GILLIGAN JR. (DIETITIAN)
Authorized Official Telephone 3145370932
Authorized Official Credential RDN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 10104 CONWAY RD
City SAINT LOUIS
State MO
Zip Code 63124-1240

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1689072324 Ladue Internal Medicine, LLC Internal Medicine 8857 A Ladue Rd., Ladue, MO 63124 2014-12-11
1043557150 Ronald Nathan Riner Internal Medicine 9847 Waterbury Drive, St. Louis, MO 63124 2013-01-09
1295099638 David Stuart Sonderman Pediatrics 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 2012-06-29
1255637799 Kyu S Her Pediatrics 624 Haverford Road, St. Louis, MO 63124 2011-02-01
1194983833 Roberte Kuhlman Orthopaedic Surgery 12 Upper Barnes, St Louis, MO 63124 2008-05-29
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City SAINT LOUIS
Zip Code 63124

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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