Healthcare Provider Details

I. General information

NPI: 1326285339
Provider Name (Legal Business Name): PREMIER VEIN SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2009
Last Update Date: 01/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 N 21ST ST
CAMP HILL PA
17011-2223
US

IV. Provider business mailing address

425 N 21ST ST
CAMP HILL PA
17011-2223
US

V. Phone/Fax

Practice location:
  • Phone: 717-972-2829
  • Fax:
Mailing address:
  • Phone: 717-972-2829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA ANN BELL
Title or Position: OFFICE MANAGER
Credential:
Phone: 717-972-2829