Hazelton, Renee M
Hazelton, Renee M is an individual health care provider with primary practice located at 20808 N. Main St Ste 103, Cornelius NC 28031-8946. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hazelton, Renee M can be contacted via phone (704) 658-9730.Contact Information
Primary practice address
20808 N. Main St Ste 103
Cornelius NC 28031-8946
Phone: (704) 658-9730
Fax: (704) 658-1457
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00131400 | New Jersey |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103441 | North Carolina |
Profile Details
NPI number | 1881708006 |
---|---|
LBN Legal business name | Hazelton, Renee M |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2006 |
Last updated | Oct 13th, 2010 - about 14 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 | 1881708006 | NPPES |
Other | P00222657 | RAILROAD MEDICARE |
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