Hazelbaker, Matthew T.
Hazelbaker, Matthew T. is an individual health care provider with primary practice located at 150 Morey Dr , Marysville OH 43040-1646. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Other Service Providers / Specialist is his primary health care specialty. Hazelbaker, Matthew T. can be contacted via phone (937) 644-2541.Contact Information
Primary practice address
150 Morey Dr
Marysville OH 43040-1646
Phone: (937) 644-2541
Fax: (937) 642-7535
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 35072181 | Ohio |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35072181 | Ohio |
Other Service Providers / Specialist | 174400000X | 3507-2181H | Ohio |
Profile Details
NPI number | 1235134222 |
---|---|
LBN Legal business name | Hazelbaker, Matthew T. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | May 3rd, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235134222 | NPPES |
Ohio | MEDICAID | 2121484 |
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