Hazelton, Jane Ellen

Hazelton, Jane Ellen is an sole proprietor health care provider with primary practice located at 420 Eastlawn Dr , North Baltimore OH 45872-1309. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Hazelton, Jane Ellen can be contacted via phone (419) 420-5579.

Contact Information

Primary practice address
420 Eastlawn Dr North Baltimore OH 45872-1309
Phone: (419) 420-5579
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1306251095
LBN Legal business name Hazelton, Jane Ellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2014
Last updated Jun 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306251095 NPPES
Ohio MEDICAID 0055748

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