Hazlett, Gary Robert

Hazlett, Gary Robert is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Hazlett, Gary Robert can be contacted via phone (765) 747-3111.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 747-3111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01031249A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01031249A Indiana

Profile Details

NPI number 1932292737
LBN Legal business name Hazlett, Gary Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Feb 1st, 2021 - 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 1932292737 NPPES
Indiana Other P00980457 RR MEDICARE
Indiana MEDICAID 100106260A RR MEDICARE
Indiana Other 110085001 RR MEDICARE
Indiana MEDICAID 200986050 RR MEDICARE

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