Hazelwood, Melissa Jo
Hazelwood, Melissa Jo is an individual health care provider with primary practice located at 1111 Delafield St Suite 120, Waukesha WI 53188-3417. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Hazelwood, Melissa Jo can be contacted via phone (262) 521-9762.Contact Information
Primary practice address
1111 Delafield St Suite 120
Waukesha WI 53188-3417
Phone: (262) 521-9762
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 463-039 | Wisconsin |
Profile Details
| NPI number | 1265481642 |
|---|---|
| LBN Legal business name | Hazelwood, Melissa Jo |
| Credentials | MS, LAT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 8th, 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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