National Provider Identifier Database

SOUTHERN ILLINOIS SURGICAL APPLIANCE CO
Oxygen Equipment & Supplies


Contact Information

SOUTHERN ILLINOIS SURGICAL APPLIANCE CO
207 EAST MAIN ST
DU QUOIN, IL62832
Phone: 618-542-3876
Fax: 618-542-6157
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN ILLINOIS SURGICAL APPLIANCE CO

NPI Number 1659475879
Legal business name
LBN
SOUTHERN ILLINOIS SURGICAL APPLIANCE CO
Authorized official ROBERT LEWIS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/08/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: IN PROCESS

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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