Hazen, Justin C
Hazen, Justin C is an sole proprietor health care provider with primary practice located at 2200 E Show Low Lake Rd , Show Low AZ 85901-7831. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hazen, Justin C can be contacted via phone (928) 537-4375.Contact Information
Primary practice address
2200 E Show Low Lake Rd
Show Low AZ 85901-7831
Phone: (928) 537-4375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5400 | Arizona |
Profile Details
| NPI number | 1114363603 |
|---|---|
| LBN Legal business name | Hazen, Justin C |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2013 |
| Last updated | May 11th, 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.
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