Southwest Virginia Center For Cosmetic Plastic & Recon Surgery

LBN: Southwest Virginia Center For Cosmetic Plastic & Recon Surgery
Southwest Virginia Center For Cosmetic Plastic & Recon Surgery is an health care organization with primary practice located at 2965 Colonnade Drive Suite 140, Roanoke VA 24018-3541. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is the primary health care specialty. Southwest Virginia Center For Cosmetic Plastic & Recon Surgery can be contacted via phone (540) 989-6361, or through Breiner, Michael J via phone (540) 989-6361.

Contact Information

Primary practice address
2965 Colonnade Drive Suite 140 Roanoke VA 24018-3541
Phone: (540) 989-6361
Fax: (540) 989-6361
Website:
Map and Directions
Authorized official contact:
Name: Breiner, Michael J Doctor of Medicine (MD)
Phone: (540) 989-6361

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101050226 Virginia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0101050226 Virginia

Profile Details

NPI number 1609958776
LBN Legal business name Southwest Virginia Center For Cosmetic Plastic & Recon Surgery
DBA Doing business as
Authorized official Breiner, Michael J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Apr 11th, 2011 - about 13 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 1609958776 NPPES
Other 323954 ANTHEM
Other 089951000 ANTHEM
Other 240000224 ANTHEM
Other 76991 ANTHEM
MEDICAID 06901051 ANTHEM
Other 348227 ANTHEM
Other AETNA ANTHEM

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