1407057102 NPI number — AVERY ERIC ELIAS MHSII

Table of content: AVERY ERIC ELIAS MHSII (NPI 1407057102)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407057102 NPI number — AVERY ERIC ELIAS MHSII

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ELIAS
Provider First Name:
AVERY
Provider Middle Name:
ERIC
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MHSII
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407057102
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/02/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2101 COURAGE DR
Provider Second Line Business Mailing Address:
M.S.10-300
Provider Business Mailing Address City Name:
FAIRFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94533-6717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
707-784-2046
Provider Business Mailing Address Fax Number:
707-784-2103

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2101 COURAGE DR
Provider Second Line Business Practice Location Address:
M.S.10-300
Provider Business Practice Location Address City Name:
FAIRFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94533-6717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-784-2046
Provider Business Practice Location Address Fax Number:
707-784-2103
Provider Enumeration Date:
05/30/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 172V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)