Hazen, Gregory C

Hazen, Gregory C is an individual health care provider with primary practice located at 5161 Cardinal Park Drive , Saginaw MI 48604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hazen, Gregory C can be contacted via phone (989) 797-2400.

Contact Information

Primary practice address
5161 Cardinal Park Drive Saginaw MI 48604
Fax: (989) 249-1035
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301065631 Michigan

Profile Details

NPI number 1174528863
LBN Legal business name Hazen, Gregory C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Apr 7th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174528863 NPPES
Michigan MEDICAID 1004149079

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