Provider Demographics
NPI:1417499609
Name:PATRICIA ELEY, L.E., CPE
Entity Type:Organization
Organization Name:PATRICIA ELEY, L.E., CPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ELECTROLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:ELEY
Authorized Official - Suffix:
Authorized Official - Credentials:LE,CPE
Authorized Official - Phone:530-613-0462
Mailing Address - Street 1:701 HIGH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-4734
Mailing Address - Country:US
Mailing Address - Phone:530-613-0462
Mailing Address - Fax:
Practice Address - Street 1:701 HIGH ST STE 201
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-4734
Practice Address - Country:US
Practice Address - Phone:530-613-0462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-06
Last Update Date:2016-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL7332247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty