VEIN CENTER AND MEDICAL SPA NPI 1740358209

NPI Information

NPI: 1740358209
Provider Name: VEIN CENTER AND MEDICAL SPA

Doing Business As: AMALFI, PC

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4020 COPPER VW STE 212
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 941-7500
Get Directions

VEIN CENTER AND MEDICAL SPA is a vascular surgery surgery in Traverse City, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VEIN CENTER AND MEDICAL SPA NPI is 1740358209. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Amalfi, Pc.

The provider's business location address is:

4020 COPPER VW STE 212
TRAVERSE CITY, MI
ZIP 49684-041
Phone: (231) 941-7500
Fax: (231) 941-7509

The provider's authorized official is David Amalfitano .
The authorized official title is President and has the following contact phone number (231) 941-7500.

The CLIA number assigned to this NPI record is 23D2236488 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 10/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5281088	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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