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Contact Information

MELISSA C GIBSON, RD, LDN
1465 S GRAND BLVD
SAINT LOUIS, MO63104-1003
 Phone: 314-268-2700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MELISSA C GIBSON · (Female)

NPI Number 1386234805
Status Active
Credentials RD, LDN
Entity Individual
Enumeration date 01/19/2021
Last updated 01/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2021001439
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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