Hazen, Gale A
Hazen, Gale A is an individual health care provider with primary practice located at 5319 Hoag Dr Suite 100, Sheffield Village OH 44035-1494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Hazen, Gale A can be contacted via phone (440) 930-6015.Contact Information
Primary practice address
5319 Hoag Dr Suite 100
Sheffield Village OH 44035-1494
Phone: (440) 930-6015
Fax: (440) 930-6094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 35042917H | Ohio |
Profile Details
| NPI number | 1265480370 |
|---|---|
| LBN Legal business name | Hazen, Gale A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Nov 3rd, 2009 - about 16 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 | 1265480370 | NPPES |
| Ohio | MEDICAID | 0821543 |
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