Individual
NEAL ALLEN HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002055A
IN
2255A2300X
Athletic Trainer
36000116A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386711
ANTHEM
IN
05
—
200816790
—
IN
Enumeration date
12/09/2006
Last updated
11/19/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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