National Provider Identifier Database

P HAINES ELY MD INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

P. HAINES ELY, M.D. INC.
565 BRUNSWICK ROAD
SUITE 7
GRASS VALLEY, CA95945
Phone: 530-477-7546
Fax: 530-477-0712
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for P. HAINES ELY, M.D. INC.

NPI Number 1730304213
Legal business name
LBN
P. HAINES ELY, M.D. INC.
Authorized official PARRY ELY - (PRESIDENT OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/17/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: G22469
  • CA Other: 1396706370 INDIVIDUAL NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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