Hazelton, Ian

Hazelton, Ian is an individual health care provider with primary practice located at 252 North Main Street Eastern Rehabilitation Network 5Th Floor, Manchester CT 06040. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Hazelton, Ian can be contacted via phone (860) 643-3562.

Contact Information

Primary practice address
252 North Main Street Eastern Rehabilitation Network 5Th Floor Manchester CT 06040
Phone: (860) 643-3562
Fax: (860) 643-3565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 006992 Connecticut
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000302 Connecticut

Profile Details

NPI number 1285604546
LBN Legal business name Hazelton, Ian
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 9th, 2007 - about 17 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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