Organization · NPI-2
Vanish, LLC
Phlebology · Oak Creek, WI
NPI number1619492709
StatusActive
Last updated in NPPESJan 30, 2023
Details
- NPI
- 1619492709
- Entity type
- Organization (NPI-2)
- Legal business name
- Vanish, LLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2017
- Certification date
- Apr 27, 2022
- Last updated
- Jan 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202K00000X | Phlebology | – | – | Yes |
Other names
- Vanish - Advanced Vein Treatments (Doing Business As)
Practice location
7003 S Howell Ave Ste 1600Oak Creek, WI 53154-1460
Phone 262-476-4900 · Fax 414-395-8925
Mailing address
7003 S Howell Ave Ste 1600Oak Creek, WI 53154-1460
Phone 262-439-9725 · Fax 414-395-8925
Authorized official
Denise Abernethy
President
2624764900
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.