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NPI Code Detail

MEDICARE: GERALD GILLIG MSW

MEDICARE: GERALD GILLIG MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker000344MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972720571
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD GILLIG MSW
Provider Business Mailing Address
First Line : 4919 BRIARWOOD LN
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-3316
Country : US
Telephone Number : 816-279-5283
Fax Number :
Provider Business Practice Location Address
First Line : 724 N 22ND ST
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-2604
Country : US
Telephone Number : 816-236-2457
Fax Number : 816-364-4211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 05/06/2010

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Directions to “ GERALD GILLIG MSW” Practice Location

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