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Organization
MULLIGAN CHIROPRACTIC ORTHOPEDICS PC
Active
Organization
MULLIGAN CHIROPRACTIC ORTHOPEDICS PC
Active
Other names
MULLIGAN CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY P MULLIGAN DC (OWNER)
(314) 849-3040
Entity
Organization
Contact information
Practice address
11872 GRAVOIS RD, SAINT LOUIS, MO 63127-1800
(314) 849-3040
(314) 849-7279
Mailing address
11872 GRAVOIS RD, SAINT LOUIS, MO 63127-1800
(314) 849-3040
(314) 849-7279
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE005086
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001013946
RAILROAD MEDICARE PIN
MO
01
—
1329576
PRINCIPAL HEALTHCARE
MO
01
—
140968
GHP
MO
01
—
177379
HEALTHLINK
MO
01
—
250010
ASHN
MO
01
—
250888
ACN
MO
01
—
3082849
CIGNA
MO
01
—
350057134
RAILROAD MEDICARE
MO
01
—
4218073
AETNA
MO
01
—
4400465
UNITED HEALTHCARE
MO
01
—
5224
BLUE CHOICE
MO
Enumeration date
11/21/2007
Last updated
05/14/2008
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