Hazlett Family Health Care, P.c. | |
2925 N Saint Joseph Ave Suite B Evansville IN 47720-1337 | |
(812) 425-8042 | |
Not Available |
Full Name | Hazlett Family Health Care, P.c. |
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Speciality | Family Medicine |
Location | 2925 N Saint Joseph Ave, Evansville, Indiana |
Authorized Official Name and Position | Corazon C. Hazlett (OWNER) |
Authorized Official Contact | 8124258042 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hazlett Family Health Care, P.c. 2925 N Saint Joseph Ave Suite B Evansville IN 47720-1337 Ph: (812) 425-8042 | Hazlett Family Health Care, P.c. 2925 N Saint Joseph Ave Suite B Evansville IN 47720-1337 Ph: (812) 425-8042 |
NPI Number | 1225013576 |
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Provider Enumeration Date | 12/09/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2567615305 |
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Medicare Enrollment ID | O20130104000018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225013576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01044154A (Indiana) | Primary |
Provider Name | Corazon Hazlett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619952942 PECOS PAC ID: 3476706219 Enrollment ID: I20130104000034 |
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