Hazard, Eric

Hazard, Eric is an individual health care provider with primary practice located at 4000 Lake Tahoe Blvd #6, South Lake Tahoe CA 96150-7071. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Hazard, Eric can be contacted via phone (530) 544-4111.

Contact Information

Primary practice address
4000 Lake Tahoe Blvd #6 South Lake Tahoe CA 96150-7071
Phone: (530) 544-4111
Fax: (530) 544-1797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHY38240 California

Profile Details

NPI number 1932511771
LBN Legal business name Hazard, Eric
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2014
Last updated May 28th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932511771 NPPES
California MEDICAID PHY37849

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