Grady, Jane G

Grady, Jane G is an individual health care provider with primary practice located at 222 S Meramec Ave Suite 201, St. Louis MO 63105-3514. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grady, Jane G can be contacted via phone (314) 863-6444.

Contact Information

Primary practice address
222 S Meramec Ave Suite 201 St. Louis MO 63105-3514
Phone: (314) 863-6444
Fax: (314) 863-6324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY01445 Missouri

Profile Details

NPI number 1568531150
LBN Legal business name Grady, Jane G
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Dec 26th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568531150 NPPES
Other 27968 BLUE CROSS BLUE SHIELD MO
Other 148904 BLUE CROSS BLUE SHIELD MO
Other 015694000 BLUE CROSS BLUE SHIELD MO
Other 6115301 BLUE CROSS BLUE SHIELD MO
Other 95286 BLUE CROSS BLUE SHIELD MO
Other 000596105 BLUE CROSS BLUE SHIELD MO
Other 179630 BLUE CROSS BLUE SHIELD MO
Other 680010443 BLUE CROSS BLUE SHIELD MO

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