Provider Demographics
NPI:1063489672
Name:POST, JOHN HAZEN (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:HAZEN
Last Name:POST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 E JEFFERSON ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5375
Mailing Address - Country:US
Mailing Address - Phone:434-979-3745
Mailing Address - Fax:434-293-5995
Practice Address - Street 1:908 E JEFFERSON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5375
Practice Address - Country:US
Practice Address - Phone:434-979-3745
Practice Address - Fax:434-293-5995
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101033301174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA265829OtherANTHEM BLUE CROSS BLUE SH
VA265829OtherANTHEM BLUE CROSS BLUE SH