Hazel, Stewart Jerome

Hazel, Stewart Jerome is an individual health care provider with primary practice located at 3328 S 30Th Ave , Bozeman MT 59718-3709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hazel, Stewart Jerome can be contacted via phone (218) 349-0870.

Contact Information

Primary practice address
3328 S 30Th Ave Bozeman MT 59718-3709
Phone: (218) 349-0870
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 29754 Minnesota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD20120733 New Mexico
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35040-20 Wisconsin
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MED-PHYS-LIC-28392 Montana

Profile Details

NPI number 1013958958
LBN Legal business name Hazel, Stewart Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 21st, 2022 - 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 1013958958 NPPES
Minnesota MEDICAID 849792300

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