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VEIN & ESTHETIC CENTRE LLC NPI 1265615207


NPI Information

NPI: 1265615207
Provider Name: VEIN & ESTHETIC CENTRE, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3065 WILLIAM ST
SUITE 105
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 651-1882
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VEIN & ESTHETIC CENTRE, LLC is a vascular surgery surgery in Cape Girardeau, MO. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VEIN & ESTHETIC CENTRE, LLC NPI is 1265615207. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3065 WILLIAM ST
SUITE 105
CAPE GIRARDEAU, MO
ZIP 63703-393
Phone: (573) 651-1882
Fax: (573) 334-5302

The provider's authorized official is J Thomas Critchlow .
The authorized official title is Owner and has the following contact phone number (573) 651-1882.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 6/20/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryR6605MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERMISSOURIEMPLOYER ID
2000015590MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.