Hazelton, Renee M

Hazelton, Renee M is an individual health care provider with primary practice located at 20808 N. Main St Ste 103, Cornelius NC 28031-8946. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hazelton, Renee M can be contacted via phone (704) 658-9730.

Contact Information

Primary practice address
20808 N. Main St Ste 103 Cornelius NC 28031-8946
Phone: (704) 658-9730
Fax: (704) 658-1457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00131400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103441 North Carolina

Profile Details

NPI number 1881708006
LBN Legal business name Hazelton, Renee M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Oct 13th, 2010 - about 16 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 1881708006 NPPES
Other P00222657 RAILROAD MEDICARE

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