Hazen, Keith Andrew
Hazen, Keith Andrew is an individual health care provider with primary practice located at 10778 Monocacy Way , Manassas VA 20112-2427. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as his primary health care specialty. Hazen, Keith Andrew can be contacted via phone (703) 472-4815.Contact Information
Primary practice address
10778 Monocacy Way
Manassas VA 20112-2427
Phone: (703) 472-4815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist | 224L00000X | CPED4707 | Virginia |
Profile Details
| NPI number | 1073387452 |
|---|---|
| LBN Legal business name | Hazen, Keith Andrew |
| Credentials | CERTIFIED PEDORTHIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2023 |
| Last updated | Nov 7th, 2023 - about 2 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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