Individual
DR. JAY P MULLIGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
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
005086
MO
111N00000X
Chiropractor
1550
NC
111N00000X
Chiropractor
5684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010306
ESSENCE HEALTHCARE
—
01
—
1329576
PRINCIPAL HEALTH CARE
—
01
—
140968
GHP
MO
01
—
177379
HEALTHLINK PPO
—
01
—
250010
ASHN
MO
01
—
250888
ACN
MO
01
—
3082849
CIGNA
—
01
—
350057134
RAILROAD MEDICARE
MO
01
—
4218073
AETNA
—
01
—
4400465
MEDICARE COMPLETE
—
01
—
5086
ALL
—
01
—
5224
BCBS ALLIANCE
—
Enumeration date
09/07/2005
Last updated
04/15/2008
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