Jay L. Liss, Incorporated

LBN: Jay L. Liss, Incorporated
Jay L. Liss, Incorporated is an health care organization with primary practice located at 8711 Watson Rd Suite 100, Saint Louis MO 63119-5100. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Jay L. Liss, Incorporated can be contacted via phone (314) 961-9871, or through Liss, Jay L via phone (314) 961-9871.

Contact Information

Primary practice address
8711 Watson Rd Suite 100 Saint Louis MO 63119-5100
Phone: (314) 961-9871
Fax: (314) 961-9877
Website:
Map and Directions
Authorized official contact:
Name: Liss, Jay L Doctor of Medicine (MD)
Phone: (314) 961-9871

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1982777454
LBN Legal business name Jay L. Liss, Incorporated
DBA Doing business as
Authorized official Liss, Jay L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Apr 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982777454 NPPES
Missouri Other 000015640 MEDICARE PTAN

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