Cornelius, Avrey J

Cornelius, Avrey J is an sole proprietor health care provider with primary practice located at 3094 W Market St Ste 105 , Fairlawn OH 44333-3617. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Cornelius, Avrey J can be contacted via phone (440) 234-2006.

Contact Information

Primary practice address
3094 W Market St Ste 105 Fairlawn OH 44333-3617
Phone: (440) 234-2006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1407538135
LBN Legal business name Cornelius, Avrey J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2023
Last updated Aug 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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