Hazelton, John R.

Hazelton, John R. is an individual health care provider with primary practice located at 4055 Hwy. 17 South , Murrells Inlet SC 29576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hazelton, John R. can be contacted via phone (843) 652-3939.

Contact Information

Primary practice address
4055 Hwy. 17 South Murrells Inlet SC 29576
Fax: (843) 652-3939
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 22986 South Carolina

Profile Details

NPI number 1659394146
LBN Legal business name Hazelton, John R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated May 2nd, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659394146 NPPES
South Carolina MEDICAID 229862
South Carolina Other P00160285
South Carolina MEDICAID 89065C7

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