Hazelwood, Joanne

Hazelwood, Joanne is an individual health care provider with primary practice located at 12450 La Grange Rd , Louisville KY 40245-1901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hazelwood, Joanne can be contacted via phone (502) 638-4783.

Contact Information

Primary practice address
12450 La Grange Rd Louisville KY 40245-1901
Phone: (502) 638-4783
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006332 Kentucky

Profile Details

NPI number 1912224965
LBN Legal business name Hazelwood, Joanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2010
Last updated Apr 24th, 2015 - about 11 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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