Provider Demographics
NPI:1922353598
Name:HAZELMAN, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:HAZELMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6683 W IDA PL
Mailing Address - Street 2:APT 926
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2616
Mailing Address - Country:US
Mailing Address - Phone:720-935-8220
Mailing Address - Fax:
Practice Address - Street 1:6683 W IDA PL
Practice Address - Street 2:APT 926
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2616
Practice Address - Country:US
Practice Address - Phone:720-935-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist