Johnson, Scott Hazlehurst

Johnson, Scott Hazlehurst is an individual health care provider with primary practice located at 1 Genesys Pkwy Ste 3452 , Grand Blanc MI 48439-8065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Johnson, Scott Hazlehurst can be contacted via phone (248) 849-2600.

Contact Information

Primary practice address
1 Genesys Pkwy Ste 3452 Grand Blanc MI 48439-8065
Phone: (248) 849-2600
Fax: (248) 849-2610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 36390 South Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301087166 Michigan

Profile Details

NPI number 1962500900
LBN Legal business name Johnson, Scott Hazlehurst
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 15th, 2021 - 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 1962500900 NPPES
Michigan Other 3303312811 BCBS INDIVIDUAL PIN
Michigan MEDICAID PENDING BCBS INDIVIDUAL PIN
Michigan MEDICAID 4855726 BCBS INDIVIDUAL PIN

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