Provider Demographics
NPI:1144536830
Name:VEIN CONCEPTS, LLC.
Entity type:Organization
Organization Name:VEIN CONCEPTS, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-590-1808
Mailing Address - Street 1:6 MCBRIDE AND SON CENTER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-1418
Mailing Address - Country:US
Mailing Address - Phone:636-536-0241
Mailing Address - Fax:636-536-0930
Practice Address - Street 1:6 MCBRIDE AND SON CENTER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1418
Practice Address - Country:US
Practice Address - Phone:636-536-0241
Practice Address - Fax:636-536-0930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMDR6C15208600000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty