Elias, Avery Eric

Elias, Avery Eric is an individual health care provider with primary practice located at 2101 Courage Dr M.S.10-300, Fairfield CA 94533-6717. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Elias, Avery Eric can be contacted via phone (707) 784-2046.

Contact Information

Primary practice address
2101 Courage Dr M.S.10-300 Fairfield CA 94533-6717
Phone: (707) 784-2046
Fax: (707) 784-2103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1407057102
LBN Legal business name Elias, Avery Eric
Credentials MHSII
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Jun 2nd, 2023 - about 2 years ago

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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