Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1659475879 |
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| LBN Legal business name | SOUTHERN ILLINOIS SURGICAL APPLIANCE CO | ||||
| Authorized official | ROBERT LEWIS - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/08/2006 | ||||
| Last updated | 09/11/2025 - About 9 months ago | ||||
| Identifiers |
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