Gillum, Elisha Anne

Gillum, Elisha Anne is an individual health care provider with primary practice located at 801 N 11Th St Medicaid Department, Saint Louis MO 63101-1015. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gillum, Elisha Anne can be contacted via phone (314) 345-2535.

Contact Information

Primary practice address
801 N 11Th St Medicaid Department Saint Louis MO 63101-1015
Phone: (314) 345-2535
Fax: (314) 345-2653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 2001008315 Missouri

Profile Details

NPI number 1750413522
LBN Legal business name Gillum, Elisha Anne
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 19 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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