Organization
SELIGA SHOE STORES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W SELIGA (PRESIDENT)
(314) 961-0110
Entity
Organization
Contact information
Practice address
2530 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
(314) 961-0110
(314) 961-0529
Mailing address
2530 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-2309
(314) 961-0110
(314) 961-0529
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11054832
MISSOURI TAX ID
MO
Enumeration date
07/04/2006
Last updated
08/22/2020
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