Hazelwood, Teresa Darlene
Hazelwood, Teresa Darlene is an sole proprietor health care provider with primary practice located at 5055 Hwy N Ste. #105 , St. Charles MO 63304-8031. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Hazelwood, Teresa Darlene can be contacted via phone (314) 402-5910.Contact Information
Primary practice address
5055 Hwy N Ste. #105
St. Charles MO 63304-8031
Phone: (314) 402-5910
Fax: (636) 235-4200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 006567 | Missouri |
Profile Details
| NPI number | 1790842060 |
|---|---|
| LBN Legal business name | Hazelwood, Teresa Darlene |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jun 3rd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790842060 | NPPES |
| Missouri | Other | 104898 | GHP |
| Missouri | Other | 333832 | GHP |
| Missouri | Other | 151771 | GHP |
| Missouri | Other | 4400706 | GHP |
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