Forman, Hazel

Forman, Hazel is an individual health care provider with primary practice located at 1200 Moody St , Greensboro NC 27401-4217. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Home Modifications, Nursing Service Related Providers / Nursing Home Administrator. Other Service Providers / Home Modifications is her primary health care specialty. Forman, Hazel can be contacted via phone (336) 860-4060.

Contact Information

Primary practice address
1200 Moody St Greensboro NC 27401-4217
Phone: (336) 860-4060
Fax: (336) 937-9157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X FCL-041-081 North Carolina
Nursing Service Related Providers / Nursing Home Administrator 376G00000X
Other Service Providers / Home Modifications 171WH0202X FCL-041-082 North Carolina

Profile Details

NPI number 1205428992
LBN Legal business name Forman, Hazel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2021
Last updated May 12th, 2022 - about 2 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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