Provider Demographics
NPI:1538487905
Name:ALASKA VEIN CARE LLC
Entity Type:Organization
Organization Name:ALASKA VEIN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:BELL
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:907-357-2005
Mailing Address - Street 1:PO BOX 3105
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-3105
Mailing Address - Country:US
Mailing Address - Phone:907-357-2005
Mailing Address - Fax:828-265-1346
Practice Address - Street 1:3066 E. MERIDIAN PARK LOOP
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654
Practice Address - Country:US
Practice Address - Phone:907-357-2005
Practice Address - Fax:907-357-9593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK127807202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty