Commonwealth Vein Clinic

LBN: Commonwealth Vein Clinic
Commonwealth Vein Clinic is an health care organization with primary practice located at 518 W Atlantic St Suite A, South Hill VA 23970-1906. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Commonwealth Vein Clinic can be contacted via phone (804) 754-6707, or through Forest, Jack L via phone (804) 754-6707.

Contact Information

Primary practice address
518 W Atlantic St Suite A South Hill VA 23970-1906
Phone: (804) 754-6707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Forest, Jack L Doctor of Osteopathy (DO)
Phone: (804) 754-6707

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1497153084
LBN Legal business name Commonwealth Vein Clinic
DBA Doing business as
Authorized official Forest, Jack L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2014
Last updated Dec 12th, 2014 - about 12 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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