Provider Demographics
NPI:1164727624
Name:HAYES, JOSHUA LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:LEE
Last Name:HAYES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3477 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-3706
Mailing Address - Country:US
Mailing Address - Phone:419-224-2820
Mailing Address - Fax:419-224-2820
Practice Address - Street 1:545 W MARKET ST STE 306
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4774
Practice Address - Country:US
Practice Address - Phone:419-331-2225
Practice Address - Fax:419-222-8825
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor