Provider Demographics
NPI:1861157216
Name:SCLIKAWINA INC
Entity type:Organization
Organization Name:SCLIKAWINA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-675-3319
Mailing Address - Street 1:1739 HIGHWAY J
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MO
Mailing Address - Zip Code:63379-3701
Mailing Address - Country:US
Mailing Address - Phone:636-675-3319
Mailing Address - Fax:636-821-8433
Practice Address - Street 1:1739 HIGHWAY J
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-3701
Practice Address - Country:US
Practice Address - Phone:636-675-3319
Practice Address - Fax:636-821-8433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies