Provider Demographics
NPI:1437677838
Name:MY VEIN CARE, INC.
Entity Type:Organization
Organization Name:MY VEIN CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING CONTACT
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-252-3900
Mailing Address - Street 1:111 MORNING STAR LN
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-7118
Mailing Address - Country:US
Mailing Address - Phone:304-252-3900
Mailing Address - Fax:304-252-9311
Practice Address - Street 1:111 MORNING STAR LN
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-7118
Practice Address - Country:US
Practice Address - Phone:304-252-3900
Practice Address - Fax:304-252-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1659202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty