Hazen, Mindy
Hazen, Mindy is an sole proprietor health care provider with primary practice located at 10300 W 103Rd St Ste 300 , Overland Park KS 66214-2658. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hazen, Mindy can be contacted via phone (913) 894-1910.Contact Information
Primary practice address
10300 W 103Rd St Ste 300
Overland Park KS 66214-2658
Phone: (913) 894-1910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 17-02302 | Kansas |
Profile Details
| NPI number | 1982899530 |
|---|---|
| LBN Legal business name | Hazen, Mindy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2007 |
| Last updated | Sep 6th, 2007 - about 17 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 | 1982899530 | NPPES |
| Kansas | Other | 17-02302 | OT LICENSE |
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