Genesis Aesthetic Face And Vein Specialists, Pc
LBN: Genesis Aesthetic Face And Vein Specialists, Pc
Genesis Aesthetic Face And Vein Specialists, Pc is an health care organization with primary practice located at 1500 Breezeport Way Suite 100, Suffolk VA 23435-3727. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty.
Genesis Aesthetic Face And Vein Specialists, Pc can be contacted via phone (757) 686-9747, or through Nichols, Keith Cameron via phone (757) 686-9747.
Contact Information
Primary practice address
1500 Breezeport Way Suite 100
Suffolk VA 23435-3727
Phone: (757) 686-9747
Fax:
Website:
Authorized official contact:
Name: Nichols, Keith Cameron Doctor of Medicine (MD)
Phone: (757) 686-9747
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 0101040623 | Virginia |
Profile Details
| NPI number | 1770770380 |
|---|---|
| LBN Legal business name | Genesis Aesthetic Face And Vein Specialists, Pc |
| DBA Doing business as | |
| Authorized official | Nichols, Keith Cameron Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 27th, 2007 |
| Last updated | Jul 16th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770770380 | NPPES |
| Virginia | Other | P00208779 | RAILROAD MEDICARE |
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