Gieseler, Angela Theresa

Gieseler, Angela Theresa is an individual health care provider with primary practice located at 4921 Parkview Pl Div Im Gastroenterology, Ste 12B, Saint Louis MO 63110-1032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gieseler, Angela Theresa can be contacted via phone (314) 747-2066.

Contact Information

Primary practice address
4921 Parkview Pl Div Im Gastroenterology, Ste 12B Saint Louis MO 63110-1032
Phone: (314) 747-2066
Fax: (314) 362-2357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2014044171 Missouri

Profile Details

NPI number 1114995818
LBN Legal business name Gieseler, Angela Theresa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 25th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114995818 NPPES
Missouri MEDICAID 220024324

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