Hazen, Stanley L

Hazen, Stanley L is an individual health care provider with primary practice located at 9500 Euclid Ave. , Cleveland OH 44195-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hazen, Stanley L can be contacted via phone (800) 223-2273.

Contact Information

Primary practice address
9500 Euclid Ave. Cleveland OH 44195-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35073695H Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35.073695 Ohio

Profile Details

NPI number 1922195783
LBN Legal business name Hazen, Stanley L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated May 19th, 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 1922195783 NPPES
Ohio MEDICAID 2245921

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