Gruchala, Nancy Elise

Gruchala, Nancy Elise is an individual health care provider with primary practice located at 1 Childrens Pl , Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gruchala, Nancy Elise can be contacted via phone (314) 454-2076.

Contact Information

Primary practice address
1 Childrens Pl Saint Louis MO 63110-1002
Phone: (314) 454-2076
Fax: (314) 747-8953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2013020309 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2013020309 Missouri

Profile Details

NPI number 1740484534
LBN Legal business name Gruchala, Nancy Elise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Jan 24th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740484534 NPPES
Missouri MEDICAID 1740484534
Missouri MEDICAID ENROLLED

Popular Providers