National Provider Identifier Database

VEIN CENTER MD LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

VEIN CENTER MD, LLC
870 HOLLY ST
ORANGEBURG, SC29115-4831
Phone: 803-534-6550
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for VEIN CENTER MD, LLC

NPI Number 1124218920
Legal business name
LBN
VEIN CENTER MD, LLC
Authorized official ISAAC FUNDERBURK - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/27/2007
Last updated 07/27/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 2007-0000207

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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