Gateway Geriatric Services Llc
LBN: Gateway Geriatric Services Llc
Gateway Geriatric Services Llc is an health care organization with primary practice located at 12026 Conway Rd , Saint Louis MO 63131-2417. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty.
Gateway Geriatric Services Llc can be contacted via phone (314) 225-6015, or through Pulisetty, Shailaja via phone (314) 225-6015.
Contact Information
Primary practice address
12026 Conway Rd
Saint Louis MO 63131-2417
Phone: (314) 225-6015
Fax:
Website:
Authorized official contact:
Name: Pulisetty, Shailaja Doctor of Medicine (MD)
Phone: (314) 225-6015
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 2005019644 | Missouri |
Profile Details
| NPI number | 1114219417 |
|---|---|
| LBN Legal business name | Gateway Geriatric Services Llc |
| DBA Doing business as | |
| Authorized official | Pulisetty, Shailaja Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 5th, 2011 |
| Last updated | Jul 13th, 2011 - about 15 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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