Gillum, Jeffrey Thomas
Gillum, Jeffrey Thomas is an individual health care provider with primary practice located at 1 Jefferson Barracks Dr , Saint Louis MO 63125-4181. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics is his primary health care specialty. Gillum, Jeffrey Thomas can be contacted via phone (314) 652-4100.Contact Information
Primary practice address
1 Jefferson Barracks Dr
Saint Louis MO 63125-4181
Phone: (314) 652-4100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2001009684 | Missouri |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 2003004222 | Missouri |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics | 2251E1200X | 2001009684 | Missouri |
Profile Details
NPI number | 1548235542 |
---|---|
LBN Legal business name | Gillum, Jeffrey Thomas |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2006 |
Last updated | Mar 20th, 2024 - about 6 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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