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Contact Information

JOAN M GILLINGHAM, OTC
1 S KEENE ST
P.O. BOX O
COLUMBIA, MO65201-7199
 Phone: 573-443-2402
 Fax: 573-443-0574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JOAN M GILLINGHAM · (Female)

NPI # 1194917112
Status Active
Credentials OTC
Entity Individual
Enumeration date 08/14/2007
Last updated 07/30/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 054002
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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