Mulligan, Jay P
Mulligan, Jay P is an sole proprietor health care provider with primary practice located at 11872 Gravois Rd , Saint Louis MO 63127-1800. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mulligan, Jay P can be contacted via phone (314) 849-3040.Contact Information
Primary practice address
11872 Gravois Rd
Saint Louis MO 63127-1800
Phone: (314) 849-3040
Fax: (314) 849-7279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 005086 | Missouri |
| Chiropractic Providers / Chiropractor | 111N00000X | 1550 | North Carolina |
| Chiropractic Providers / Chiropractor | 111N00000X | 5684 | Florida |
Profile Details
| NPI number | 1811981707 |
|---|---|
| LBN Legal business name | Mulligan, Jay P |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Apr 15th, 2008 - about 16 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 | 1811981707 | NPPES |
| Missouri | Other | 250010 | ASHN |
| Missouri | Other | 5086 | ASHN |
| Missouri | Other | 1329576 | ASHN |
| Missouri | Other | 3082849 | ASHN |
| Missouri | Other | 5224 | ASHN |
| Missouri | Other | 3082849 | ASHN |
| Missouri | Other | 250888 | ASHN |
| Missouri | Other | 000000010306 | ASHN |
| Missouri | Other | 177379 | ASHN |
| Missouri | Other | 177379 | ASHN |
| Missouri | Other | 140968 | ASHN |
| Missouri | Other | 4218073 | ASHN |
| Missouri | Other | 4218073 | ASHN |
| Missouri | Other | 177379 | ASHN |
| Missouri | Other | 4400465 | ASHN |
| Missouri | Other | 5224 | ASHN |
| Missouri | Other | 350057134 | ASHN |
| Missouri | Other | 4400465 | ASHN |
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