Hazen, Mark
Hazen, Mark is an individual health care provider with primary practice located at 2209 S Sterling St Suite 600, Morganton NC 28655-4091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hazen, Mark can be contacted via phone (704) 444-4244.Contact Information
Primary practice address
2209 S Sterling St Suite 600
Morganton NC 28655-4091
Phone: (704) 444-4244
Fax: (704) 347-5261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01039253 | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2011-00879 | North Carolina |
Profile Details
| NPI number | 1538139779 |
|---|---|
| LBN Legal business name | Hazen, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | May 2nd, 2014 - about 10 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 | 1538139779 | NPPES |
| North Carolina | MEDICAID | 5912675 | |
| North Carolina | MEDICAID | 100101790 | |
| North Carolina | Other | 260690FF | |
| North Carolina | Other | 000000087407 | |
| North Carolina | MEDICAID | 1538139779 | |
| North Carolina | Other | 110070255 | |
| North Carolina | MEDICAID | Q0087J | |
| North Carolina | Other | P00783721 | |
| North Carolina | MEDICAID | 0822604 |
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