Hazen, Neal Allen
Hazen, Neal Allen is an individual health care provider with primary practice located at 3415 W Fox Ridge Ln , Muncie IN 47304-5204. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Hazen, Neal Allen can be contacted via phone (765) 282-3486.Contact Information
Primary practice address
3415 W Fox Ridge Ln
Muncie IN 47304-5204
Phone: (765) 282-3486
Fax: (765) 282-5637
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05002055A | Indiana |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 36000116A | Indiana |
Profile Details
NPI number | 1891855136 |
---|---|
LBN Legal business name | Hazen, Neal Allen |
Credentials | PT, ATC, LAT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 9th, 2006 |
Last updated | Nov 19th, 2008 - 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 | 1891855136 | NPPES |
Indiana | MEDICAID | 200816790 | |
Indiana | Other | 000000386711 |
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