Provider Demographics
NPI:1023383312
Name:HAYMAIJO, INC.
Entity Type:Organization
Organization Name:HAYMAIJO, INC.
Other - Org Name:FOCUS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:T
Authorized Official - Last Name:NGUYEN-SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-844-2400
Mailing Address - Street 1:2000 E 116TH ST
Mailing Address - Street 2:SUITE B4
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3508
Mailing Address - Country:US
Mailing Address - Phone:317-844-2400
Mailing Address - Fax:888-243-5028
Practice Address - Street 1:2000 E 116TH ST
Practice Address - Street 2:SUITE B4
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3508
Practice Address - Country:US
Practice Address - Phone:317-844-2400
Practice Address - Fax:888-243-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002413A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty