Cornelius, Avrey J
Cornelius, Avrey J is an sole proprietor health care provider with primary practice located at 3094 W Market St Ste 105 , Fairlawn OH 44333-3617. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Cornelius, Avrey J can be contacted via phone (440) 234-2006.Contact Information
Primary practice address
3094 W Market St Ste 105
Fairlawn OH 44333-3617
Phone: (440) 234-2006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1407538135 |
|---|---|
| LBN Legal business name | Cornelius, Avrey J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2023 |
| Last updated | Aug 2nd, 2023 - about 3 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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