Provider Demographics
NPI:1891551909
Name:HILAIRE, ELIAS MOSIAH TOUSSAINT
Entity Type:Individual
Prefix:
First Name:ELIAS
Middle Name:MOSIAH TOUSSAINT
Last Name:HILAIRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 STABLE CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4724
Mailing Address - Country:US
Mailing Address - Phone:443-226-5489
Mailing Address - Fax:
Practice Address - Street 1:10 STABLE CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4724
Practice Address - Country:US
Practice Address - Phone:443-226-5489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program