Provider Demographics
NPI:1386139251
Name:A WIGS & CUTS LLC
Entity type:Organization
Organization Name:A WIGS & CUTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDERNACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-751-4188
Mailing Address - Street 1:4205 N SAINT PETERS PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63304-7384
Mailing Address - Country:US
Mailing Address - Phone:636-441-4748
Mailing Address - Fax:
Practice Address - Street 1:4205 N SAINT PETERS PKWY
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63304-7384
Practice Address - Country:US
Practice Address - Phone:636-441-4748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-24
Last Update Date:2018-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies