Stewart Jerome Hazel
Ophthalmologist
3328 S 30th Ave
Bozeman
, Montana 59718-3709
Stewart Jerome Hazel
Ophthalmologist
3328 S 30th Ave
Bozeman
, Montana 59718-3709
(218) 349-0870
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Stewart Jerome Hazel
- 3328 S 30th Ave
- Bozeman, MT
- Zip : 59718-3709
- Phone : (218) 349-0870
Second Address
- Stewart Jerome Hazel
- 3328 S 30th Ave
- Bozeman, MT
- Zip : 59718-3709
- Phone : (218) 349-0870
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207W00000X | Ophthalmologist | 29754 | MN |
| N | 207W00000X | Ophthalmologist | 35040-20 | WI |
| N | 207W00000X | Ophthalmologist | MD20120733 | NM |
| Y | 207W00000X | Ophthalmologist | MED-PHYS-LIC-28392 | MT |
National Provider Identifier
| NPI | 1013958958 |
|---|---|
| Provider Name | Stewart Jerome Hazel |
| First Address | Bozeman, MT 59718-3709 |
| Second Address | Bozeman, MT 59718-3709 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 849792300 | (05) | MN |
| D81720 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.