Provider Demographics
NPI:1598770281
Name:WIGS'N MORE, INC.
Entity Type:Organization
Organization Name:WIGS'N MORE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-532-1901
Mailing Address - Street 1:5924 STATE ROUTE 981
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-2685
Mailing Address - Country:US
Mailing Address - Phone:724-532-1901
Mailing Address - Fax:724-532-0701
Practice Address - Street 1:5924 STATE ROUTE 981
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-2685
Practice Address - Country:US
Practice Address - Phone:724-532-1901
Practice Address - Fax:724-532-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013116250001Medicaid
PA302892OtherPROVIDER NUMBER
PA1526673OtherPROVIDER #
PA28482OtherPROVIDER #
PA1745608OtherPROVIDER #
PA318026OtherPROVIDER #
PA1745608OtherPROVIDER #