# DR. TERESA DARLENE HAZELWOOD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790842060
- **Gender:** F
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 006567 | MO | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 06/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 104898 | GHP | MO |
| 01 | — | 151771 | BC BS OF MO | MO |
| 01 | — | 333832 | HEALTHLINK | MO |
| 01 | — | 4400706 | UHC | MO |