Hazen, Neal Allen

Hazen, Neal Allen is an individual health care provider with primary practice located at 3415 W Fox Ridge Ln , Muncie IN 47304-5204. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Hazen, Neal Allen can be contacted via phone (765) 282-3486.

Contact Information

Primary practice address
3415 W Fox Ridge Ln Muncie IN 47304-5204
Phone: (765) 282-3486
Fax: (765) 282-5637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05002055A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36000116A Indiana

Profile Details

NPI number 1891855136
LBN Legal business name Hazen, Neal Allen
Credentials PT, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2006
Last updated Nov 19th, 2008 - about 18 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 1891855136 NPPES
Indiana MEDICAID 200816790
Indiana Other 000000386711

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