Provider Demographics
NPI:1124263058
Name:DISEASE MANAGEMENT CONSULTING,LLC
Entity type:Organization
Organization Name:DISEASE MANAGEMENT CONSULTING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:POTJE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-681-9073
Mailing Address - Street 1:5411 HAGEMANN POINTE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-4534
Mailing Address - Country:US
Mailing Address - Phone:314-681-9073
Mailing Address - Fax:
Practice Address - Street 1:5411 HAGEMANN POINTE DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-4534
Practice Address - Country:US
Practice Address - Phone:314-681-9073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORN118411251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care