Hazen, Sherilyn
Hazen, Sherilyn is an sole proprietor health care provider with primary practice located at 4650 W Sweetwater Ave , Glendale AZ 85304-1505. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Hazen, Sherilyn can be contacted via phone (602) 347-2600.Contact Information
Primary practice address
4650 W Sweetwater Ave
Glendale AZ 85304-1505
Phone: (602) 347-2600
Fax: (602) 347-2709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Local Education Agency (LEA) | 251300000X | SLPL0632 | Arizona |
Profile Details
| NPI number | 1174702245 |
|---|---|
| LBN Legal business name | Hazen, Sherilyn |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2007 |
| Last updated | Oct 25th, 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 | 1174702245 | NPPES |
| Arizona | MEDICAID | 583436 |
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