The Vein Center And Medspa

LBN: Jacric
The Vein Center And Medspa is an health care organization with primary practice located at 965 Windham Ct Suite 2, Boardman OH 44512-5088. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as the primary health care specialty. Jacric can be contacted via phone (330) 629-9400, or through Loges, Richard J. via phone (330) 629-9400.

Contact Information

Primary practice address
965 Windham Ct Suite 2 Boardman OH 44512-5088
Phone: (330) 629-9400
Fax: (330) 629-9441
Website:
Map and Directions
Authorized official contact:
Name: Loges, Richard J. Doctor of Medicine (MD)
Phone: (330) 629-9400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 35.070443 Ohio

Profile Details

NPI number 1366874414
LBN Legal business name Jacric
DBA Doing business as The Vein Center And Medspa
Authorized official Loges, Richard J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2013
Last updated Sep 4th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366874414 NPPES
Ohio MEDICAID 0293865

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