MEDICARE: SELIGA SHOE STORES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11054832	OTHER	MO	MISSOURI TAX ID

General Provider Information

NPI Number	:	1194755058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELIGA SHOE STORES INC

Provider Business Mailing Address
First Line	:	2530 S BRENTWOOD BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-2309
Country	:	US
Telephone Number	:	314-961-0110
Fax Number	:	314-961-0529

Provider Business Practice Location Address
First Line	:	2530 S BRENTWOOD BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-2309
Country	:	US
Telephone Number	:	314-961-0110
Fax Number	:	314-961-0529

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOHN W SELIGA
Credential	:
Telephone Number	:	314-961-0110

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1336122266 — BRENTWOOD PHYSICAL THERAPY LIMITED
Practice Location Address:

2558 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-961-8940
Practice Fax: 314-961-8969

1558488528 — DR. BRIAN J HARASHA D.C.
Practice Location Address:

2558 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-961-8940
Practice Fax:

1710128822 — COURTNEY EVERSON M.S.W. LCSW RPT
Practice Location Address:

2500 S BRENTWOOD BLVD STE 211
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-266-8545
Practice Fax:

1609307776 — CREATIVE WELLNESS, LLC
Practice Location Address:

2558 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-961-8940
Practice Fax: 314-961-8969

1760971931 — ATTACHED TO HOME IHS LLC
Practice Location Address:

2542 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-764-2021
Practice Fax: 314-764-2028

1780448944 — TODD ALLEN OLESON
Practice Location Address:

2558 S BRENTWOOD BLVD
SAINT LOUIS, MO
63144-2309

Practice Phone: 314-961-8940
Practice Fax: 314-961-8969

Directions to “SELIGA SHOE STORES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.