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:
Health care specialties
| Specialty | Code | License # | 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 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104023886 | NPPES |
| Missouri | Other | 2009023923 | LICENSE |
| Missouri | MEDICAID | 1104023886 | LICENSE |
| Missouri | Other | 803537998 | LICENSE |
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