Joseph, Hazel L

Joseph, Hazel L is an sole proprietor health care provider with primary practice located at 611 W Poplar St , Elizabethtown KY 42701-2431. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Joseph, Hazel L can be contacted via phone (270) 704-3599.

Contact Information

Primary practice address
611 W Poplar St Elizabethtown KY 42701-2431
Phone: (270) 704-3599
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 38878 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 38878 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 38878 Kentucky

Profile Details

NPI number 1760430888
LBN Legal business name Joseph, Hazel L
Credentials MD, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Apr 15th, 2023 - about 2 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 1760430888 NPPES
Kentucky Other 00731001 MEDICARE INDIVIDUAL NUMBER

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