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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

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

NPI Number 1730304213
LBN Legal business name P. HAINES ELY, M.D. INC.
Authorized official PARRY ELY - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # G22469
CA Other 1396706370 INDIVIDUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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