Hazlehurst, Thomas B
Hazlehurst, Thomas B is an sole proprietor health care provider with primary practice located at 1900 Sullivan Ave , Daly City CA 94015-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Hazlehurst, Thomas B can be contacted via phone (650) 400-0277.Contact Information
Primary practice address
1900 Sullivan Ave
Daly City CA 94015-2200
Phone: (650) 400-0277
Fax: (650) 340-1785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G37365 | California |
Profile Details
| NPI number | 1205846771 |
|---|---|
| LBN Legal business name | Hazlehurst, Thomas B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Oct 22nd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205846771 | NPPES |
| Other | 290007636 | MEDICARE RAILROAD | |
| Other | G37365 | MEDICARE RAILROAD | |
| MEDICAID | 00G373651 | MEDICARE RAILROAD |
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