Hazellief, Jacob Henry

Hazellief, Jacob Henry is an sole proprietor health care provider with primary practice located at 1040 37Th Pl Ste 101 , Vero Beach FL 32960-4808. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hazellief, Jacob Henry can be contacted via phone (772) 563-4580.

Contact Information

Primary practice address
1040 37Th Pl Ste 101 Vero Beach FL 32960-4808
Phone: (772) 563-4580
Fax: (772) 563-4690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9108172 Florida

Profile Details

NPI number 1669874822
LBN Legal business name Hazellief, Jacob Henry
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2014
Last updated Sep 19th, 2014 - about 12 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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