| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | JEREMY HAZELTINE · Jeremy M Hazeltine | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 2886195 | [sources] | |||
| First name | Jeremy | [sources] | |||
| Last name | Hazeltine | [sources] | |||
| Middle name | M | [sources] | |||
| NPI | 1265677074 | [sources] | |||
| Sector | 38 - Non-Agency Nurse PDN -- RN OR LPN | [sources] | |||
| Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 933 CALDWELL STREET, PIQUA, OH 45356 · PIQUA, OH 45356, USA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
People and companies excluded from Federally funded health care programs
United States · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-medoh-11e10a07703b4467f27ec52e66c08583bbb775e4 · us-fed-excl-jeremy-hazeltine-45356-piqua · us-medoh-12eff51683810dae094cc9da6c2ac8a5786fce46For experts: raw data explorer
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| United States | HHS | Reciprocal | - |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |