| Jesus Ligot Md Llc | |
|
100 Chesterfield Business Pkwy Ste 200 Chesterfield MO 63005-1271 | |
| (808) 212-5928 | |
| (808) 909-2004 |
| Full Name | Jesus Ligot Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, Missouri |
| Authorized Official Name and Position | Jesus Ligot (PSYCHIATRIST) |
| Authorized Official Contact | 3027470987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesus Ligot Md Llc 500 N Main St Ste 620 Roswell NM 88201-4767 Ph: (302) 747-0987 | Jesus Ligot Md Llc 100 Chesterfield Business Pkwy Ste 200 Chesterfield MO 63005-1271 Ph: (808) 212-5928 |
| NPI Number | 1326693904 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 2365772142 |
|---|---|
| Medicare Enrollment ID | O20190920000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326693904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jesus S Ligot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083839070 PECOS PAC ID: 8224138656 Enrollment ID: I20180806002961 |
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