Gildehaus, Alison Jane

Gildehaus, Alison Jane is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 560A , Saint Louis MO 63141-8261. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Gildehaus, Alison Jane can be contacted via phone (314) 251-6440.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 560A Saint Louis MO 63141-8261
Phone: (314) 251-6440
Fax: (314) 251-4456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2009023923 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 2009023923 Missouri

Profile Details

NPI number 1104023886
LBN Legal business name Gildehaus, Alison Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Mar 7th, 2023 - about last year

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 1104023886 NPPES
Missouri Other 2009023923 LICENSE
Missouri MEDICAID 1104023886 LICENSE
Missouri Other 803537998 LICENSE

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