Hazen, Paul Gregory

Hazen, Paul Gregory is an individual health care provider with primary practice located at 26908 Detroit Rd Suite 103, Westlake OH 44145-2398. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Hazen, Paul Gregory can be contacted via phone (440) 482-8323.

Contact Information

Primary practice address
26908 Detroit Rd Suite 103 Westlake OH 44145-2398
Fax: (440) 808-1606
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 037749 Ohio

Profile Details

NPI number 1659352367
LBN Legal business name Hazen, Paul Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 6th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659352367 NPPES
Ohio MEDICAID 0356092

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