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Contact Information

NORTHWEST VEIN AND AESTHETIC CENTER PS
4700 POINT FOSDICK DR NW STE 307
GIG HARBOR, WA98335-1706
 Phone: 253-857-8346
 Fax: 253-857-0259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for NORTHWEST VEIN AND AESTHETIC CENTER PS

NPI Number 1548409337
LBN Legal business name NORTHWEST VEIN AND AESTHETIC CENTER PS
Authorized official AKSEL NORDESTGAARD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/18/2009
Last updated 02/18/2009 - About 17 years ago
Identifiers
WA License # MD00028685
WA Medicaid 1067198
WA Other 1083630602 INDIVIDUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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