1497026389 NPI number — FAUVE ELISE HILL PA-C

Table of content: FAUVE ELISE HILL PA-C (NPI 1497026389)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497026389 NPI number — FAUVE ELISE HILL PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILL
Provider First Name:
FAUVE
Provider Middle Name:
ELISE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

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:
1497026389
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
125 PARKER HILL AVENUE, DEPARTMENT OF ORTHOPEDICS
Provider Second Line Business Mailing Address:
NEW ENGLAND BAPTIST HOSPITAL
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02120-2847
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-754-5800
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
738 NEWMAN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BERN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28562-5238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-634-2676
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2012

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: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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