Hazel, Maria Teresa

Hazel, Maria Teresa is an individual health care provider with primary practice located at 401 Fourth St , Fossil OR 97830-8302. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Hazel, Maria Teresa can be contacted via phone (541) 763-2746.

Contact Information

Primary practice address
401 Fourth St Fossil OR 97830-8302
Fax: (541) 763-2170
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1528819745
LBN Legal business name Hazel, Maria Teresa
Credentials PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2024
Last updated Mar 27th, 2024 - about last year

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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